ROR2 antibody compositions and related methods

ABSTRACT

The disclosure provides antibodies, antibody fragments or antigen-binding fragments, as well as related antibody drug conjugates (ADCs) and chimeric antigen receptors (CARs), that specifically recognize human ROR2, Also provided in the disclosure are methods of using such antibodies in various diagnostic and therapeutic applications.

CROSS-REFERENCE TO RELATED APPLICATIONS

The subject patent application claims the benefit of priority to U.S. Provisional Patent Application No. 62/280,834 (filed Jan. 20, 2016). The full disclosure of the priority application is incorporated herein by reference in its entirety and for all purposes.

BACKGROUND OF THE INVENTION

Cancer is one of the leading causes of death. It is a class of diseases which is caused by malignant transformation of healthy cells, caused by genetic alterations, like chromosomal translocations, mutations in tumor suppressor genes, transcription factors or growth-factor receptors, leading to the immortalization of the cells. If the immortalization is combined with excessive proliferation the immortalized cells generate tumors with or without metastasis (in case of solid tumors) or leukemias and lymphomas (cancers of the blood). Defective apoptosis, or programmed cell death, can further contribute to malignant transformation of cells leading to cancer.

A family of membrane associated receptor tyrosine kinases, consisting of the receptor tyrosine kinase orphan receptors-1 and-2 (ROR1 and ROR2) have been described as being specifically associated with particular cancers (Rebagay et al. (2012) Front Oncol. 2(34)), while being largely absent in expression on healthy tissue with, at least in case of ROR1, few exceptions (Balakrishnan et al. (2016) Clin Cancer Res. doi: 10.1158/1078-0432). Whether or not ROR expression is functionally associated with tumorigenesis remains unclear. However, due to the very tumor-selective expression of the ROR family members, they represent relevant targets for targeted cancer therapies. Importantly, ROR2 is expressed on the tumor cell surface in neuroblastoma, osteosarcoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, melanoma, squamous cell carcinoma, multiple myeloma and other cancers.

In normal physiology, ROR2 is responsible for aspects of bone and cartilage growth during embryonic development. After birth expression of ROR2 is downregulated and ROR2 is normally undetectable or expressed at very low levels in adult tissues. Weak expression of ROR2 has only been reported in stomach and thyroid issue (Morioka et al., Cancer Sci. 100: 1227-1233, 2009). ROR2 has previously been recognized as a target for the development of ROR2 specific antibodies (WO2013103637). However, there are no antibodies against the hROR2 target with known sequences described in the literature.

Therefore, there is a need for high-quality anti-ROR2 binding antibodies that can be used as a basis for the development of antibody-based targeted therapies of ROR2 expressing cancers. There is also a need for additional diagnostic tools for detecting ROR2 expressions in ROR2-related disease conditions, e.g. such as Western-blotting and or immunohistochemistry (IHC). The instant invention is directed to addressing these and other needs.

SUMMARY OF THE INVENTION

In one aspect, the invention provides novel, high-affinity binding domains of rabbit antibodies that specifically bind to the extracellular domain of human receptor tyrosine kinase like orphan receptor 2 (hROR2) and that have been selected from highly diverse phage-display libraries of non-immunized rabbits using human ROR2 (hROR2) extracellular domains expressed in mammalian cells as a bait. The variable regions of rabbit antibodies have been selected by screening for the binding against the ECD of hROR2 both as recombinant proteins and also based on the binding of hROR2 over-expressed on the surface of mammalian host cells. By this strategy novel antibodies for hROR2 of high quality and favorable functional properties have been identified. Furthermore, the invention provides chimeric full-length antibodies of the rabbit variable domains fused to the constant region domains of human IgG₁ antibodies.

In a second aspect of the invention site-specifically conjugated antibody drug conjugates (ADCs) based on the chimeric rabbit-human anti-human ROR2 (hROR2) antibodies with an ultra-potent anthracycline toxin are provided by the invention. The site-specific conjugation is achieved by enzymatic conjugation using sortase enzyme, essentially as disclosed in WO2014140317. The ultra-potent anthracycline toxin resulting in anti-hROR2 ADCs with high potency in vitro has been disclosed in WO2016102679, which is incorporated by reference herein.

Lastly, the invention provides chimeric antigen receptors (CARs) and T cells engineered with these CARs, i.e. so-called CAR-T cells, employing said anti-hROR2 binding domains showing high efficacy in vitro.

Therefore the invention relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments (antigen-binding fragments) thereof, antibody drug conjugates (ADCs), or CARs having the same binding specificity for hROR2 as that of hROR2 specific antibodies containing an immunoglobulin heavy chain variable region sequence and an immunoglobulin light chain variable region sequence, respectively, shown in (i) SEQ ID NO:1 and SEQ ID NO:13; (ii) SEQ ID NO:2 and SEQ ID NO:14; (iii) SEQ ID NO:3 and SEQ ID NO:15; (iv) SEQ ID NO:4 and SEQ ID NO:16; (v) SEQ ID NO:5 and SEQ ID NO:17; (vi) SEQ ID NO:6 and SEQ ID NO:18; (vii) SEQ ID NO:7 and SEQ ID NO:19; (vii) SEQ ID NO:8 and SEQ ID NO:20; (ix) SEQ ID NO:9 and SEQ ID NO:21; (x) SEQ ID NO:10 and SEQ ID NO:22; (xi) SEQ ID NO:11 and SEQ ID NO:23; or (xii) SEQ ID NO:12 and SEQ ID NO:24.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs comprising a heavy chain variable region sequence or a light chain variable region segue Ice, one or both of which are at least 90%, or at least 95% or greater than 95%, but less than 100% identical, to a heavy chain variable region sequence or a light chain variable region sequence respectively shown in (i) SEQ ID NO:1 and SEQ ID NO:13; (ii) SEQ ID NO:2 and SEQ ID NO:14; (iii) SEQ ID NO:3 and SEQ ID NO:15; (iv) SEQ ID NO:4 and SEQ ID NO:16; (v) SEQ ID NO:5 and SEQ ID NO:17; (vi) SEQ ID NO:6 and SEQ ID NO:18; (vii) SEQ ID NO:7 and SEQ ID NO:19; (vii) SEQ ID NO:8 and SEQ ID NO:20; (ix) SEQ ID NO:9 and SEQ ID NO:21; (x) SEQ. ID NO:10 and SEQ ID NO:22; (xi) SEQ ID NO:11 and SEQ ID NO:23; or (xii) SEQ ID NO:12 and SEQ ID NO:24.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs comprising a heavy chain variable region sequence or a light chain variable region sequence, one or both of which are identical to a heavy chain variable region sequence and a light chain variable region sequence respectively shown in (i) SEQ ID NO:1 and SEQ ID NO:13; (ii) SEQ ID NO:2 and SEQ ID NO:14; (ill) SEQ ID NO:3 and SEQ ID NO:15; (iv) SEQ ID NO:4 and SEQ ID NO:16; (v) SEQ ID NO:5 and SEQ ID NO:17; (vi) SEQ ID NO:6 and SEQ ID NO:18; (vii) SEQ ID NO:7 and SEQ ID NO:19; (vii) SEQ ID NO:8 and SEQ ID NO:20; (ix) SEQ ID NO:9 and SEQ ID NO:21; (x) SEQ ID NO:10 and SEQ ID NO:22; (xi) SEQ ID NO:11 and SEQ ID NO:23; or (xii) SEQ ID NO:12 and SEQ ID NO:24.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs comprising immunoglobulin heavy chain CDR sequences and immunoglobulin light chain CDR sequences that are at least 90%, or at least 95% or greater than 95%, but less than 100% identical, respectively, to (i) SEQ ID NOs:25-27 and SEQ ID NOs:61-63, (ii) SEQ ID NOs:28-30 and SEQ ID NOs:64-66, (iii) SEQ ID D NOs:31-33 and SEQ ID NOs:67-69, (iv) SEQ ID NOs:34936 and SEQ ID NOs:70-72, (v) SEQ ID NOs:37-39 and SEQ ID NOs:73-75, (vi) SEQ ID NOs:40-42 and SEQ IT3 NOs:76-78, (vii) SEQ ID NOs:43645 and SEQ ID NOs:79-81, (viii) SEQ ID NOs:46-48 and SEQ ID NOs:82-84, (ix) SEQ ID NOs:49-51 and SEQ ID NOs:85-87, (x) SEQ ID NOs:52-54 and SEQ ID NOs:88-90, (xi) SEQ ID NOs:55-57 and SEQ ID NOs:91-93, or (xii) SEQ ID NOs:58-60 and SEQ ID NOs:94-96.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARS of the invention that contain heavy chain CDR1-3 sequences or light chain CDR1-3 sequences that are identical, respectively, to (i) SEQ ID NOs:25-27 and SEQ ID NOs:61-63, (ii) SEQ ID NOs:28-30 and SEQ ID NOs:64-66, (iii) SEQ ID NOs:31-33 and SEQ ID NOs:67-69, (iv) SEQ ID NOs:34-36 and SEQ ID NOs:7072, (v) SEQ ID NOs:37-39 and SEQ ID NOs:73-75, (vi) SEQ ID NOs:40-42 and SEQ ID NOs:76-78, (vii) SEQ ID NOs:43-45 and SEQ ID NOs:79-81, (viii) SEQ ID NOs:46-48 and SEQ ID NOs:82-84, (ix) SEQ ID NOs:49-51 and SEQ ID NOs:85-87, (x) SEQ ID NOs:52-54 and SEQ ID NOs:88-90, (xi) SEQ ID NOs:55-57 and SEQ ID NOs:91-93, or (xii) SEQ ID NOs:58-60 and SEQ ID NOs:94-96.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs of the invention that contain a heavy chain variable region sequence and a light chain variable region sequence respectively shown in (i) SEQ ID NO:1 and SEQ ID NO:13; (ii) SEQ ID NO:2 and SEQ ID NO:14; (iii) SEQ ID NO:3 and SEQ ID NO:15; (iv) SEQ ID NO:4 and SEQ ID NO:16; (v) SEQ ID NO:5 and SEQ ID NO:17; (vi) SEQ ID NO:6 and SEQ ID NO:18; (vii) SEQ ID NO:7 and SEQ ID NO:19; (vii) SEQ ID NO:8 and SEQ ID NO:20; (ix) SEQ ID NO:9 and SEQ ID NO:21; (x) SEQ ID NO:10 and SEQ ID NO:22; (xi) SEQ ID NO:11 and SEQ ID NO:23; or (xii) SEQ ID NO:12 and SEQ ID NO:24.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs of the invention that contain at least one heavy chain CDR sequence selected from the group consisting of SEQ ID NOs:25-60, Some of these molecules further contain a light chain CDR sequence selected from the group consisting of SEQ ID NOs:61-96.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs that contain heavy chain CDR1, CDR2, and CDR3 sequences that are respectively identical to SEQ ID NOs:25-27, SEQ ID NOs:28-30, SEQ ID NOs:31-33, SEQ ID NO:34-36, SEQ ID NOs:37-39, SEQ ID NOs:40-42, SEQ ID NOs:43-45, SEQ ID NOs:46-48, SEQ ID NOs:49-51, SEQ ID NOs:52-54, SEQ ID NOs:55-57, or SEQ ID NOs:58-60.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs of the invention that contain at least one light chain CDR sequence selected from the group consisting of SEQ ID NOs:61-96. Some of these molecules additionally contain a heavy chain CDR sequence selected from the group consisting of SEQ ID NOs:25-60.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs that contain light chain CDR1, CDR2, and CDR3 sequences that are respectively identical to SEQ ID NOs:61-63, SEQ ID NOs:64-66, SEQ ID NOs:67-69, SEQ ID NOs:70-72, SEQ ID NOs:73-75, SEQ ID NOs:76-78, SEQ ID NOs:79-81, SEQ ID NOs:82-84, SEQ ID NOs:85-87, SEQ ID NOs:88-90, SEQ ID NOs:91-93, or SEQ ID NOs:94-96.

The invention further relates to anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof, antibody drug conjugates (ADCs), or CARs that contain heavy chain CDR1, CDR2 and CDR3 sequences and light chain CDR1, CDR2 and CDR3 sequences respectively shown in (i) SEQ ID NOs:25-27 and SEQ ID NOs:61-63, (ii) SEQ ID NOs:28-30 and SEQ ID NOs:64-66, (iii) SEQ ID NOs:31-33 and SEQ ID NOs:67-69, (iv) SEQ ID NOs:34-36 and SEQ ID NOs:70-72, (v) SEQ ID NOs:37-39 and SEQ ID NOs:73-75, (vi) SEQ ID NOs:40-42 and SEQ ID NOs:76-78, (vii) SEQ ID NOs:43-45 and SEQ ID NOs:79-81, (vii) SEQ ID NOs:46-48 and SEQ ID NOs:82-84, (ix) SEQ ID NOs:49-51 and SEQ ID NOs:85-87, (x) SEQ ID NOs:52-54 and SEQ ID NOs:88-90, (xi) SEQ ID NOs:55-57 and SEQ ID NOs:91-93, or (xii) SEQ ID NOs:58-60 and SEQ ID NOs:94-96.

In various embodiments, the anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof of the invention can be either of IgA1, IgA2, IgD, IgE, IgG1, IgG2, IgG4 or IgM isotypes, or F(ab)2, Fv, scFv, IgGACH2, F(ab′)2, scFv2CH3, Fab, VL, VH, scFv4, scFv3, scFv2, dsFv, Fv, scFv-Fc, (scFv)2 fragments thereof, or non-depleting IgG, a diabody, or a bivalent antibody. In some embodiments, the anti-hROR2 antibodies or antibody-based binding proteins is an IgG selected from the group consisting of naturally occurring IgG1, IgG2, IgG3, IgG4 isotypes, or synthetic IgGs. In some other embodiments, the anti-hROR2 antibody fragment is a Fab, a scFv, or a dsFv. In some embodiments, the anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof are conjugated to a synthetic molecule. In some of these embodiments, the anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof are conjugated to a transmembrane region and an intracellular T-cell receptor (TCR) signaling domain to form a chimeric antigen receptor (CAR).

The invention further relates to antibody drug conjugates (ADCs) comprising a hROR2-specific antibody, antibody-based binding protein or antibody fragment of the invention with a toxin payload that effects killing of hROR2 specific cells. In said ADCs the toxin payload can be conjugated non-site-specifically to the antibody, antibody-based binding protein or antibody fragment via lysine or cysteine amino acid side chains employing classical chemical linkers with maleimide functionality, or other chemical known in the art that can mediate conjugation to lysine or cysteine amino acid side chains. In said ADCs the small molecular weight payload can also be conjugated site-specifically either by chemical, chemo-enzymatic, or enzymatic conjugations known in the art, like e.g. with bifunctional linkers, linkers allowing Pictet-Spengler chemistry on formyl-glycine forming enzyme modified antibodies, by glycan-remodeled antibodies, or by bacterial transglutaminase or sortase enzymes

In a related aspect, the invention provides pharmaceutical compositions that contain a therapeutically effective amount of an anti-hROR2 antibody, antibody-based binding protein, antibody fragment thereof, antibody drug conjugate (ADC) of the invention and a pharmaceutically acceptable carrier. Also provided in the invention are pharmaceutical combinations or kits that contain at least one of the antibody, antibody-based binding proteins, antibody fragments thereof or antibody drug conjugates (ADCs) disclosed herein. Further provided in the invention are isolated or substantially purified polynucleotides that encode the variable region of the immunoglobulin heavy chain or immunoglobulin light chain of the anti-hROR2 antibodies, antibody-based binding proteins, antibody fragments thereof; antibody drug conjugates (ADCs), or CARs disclosed herein, as well as expression vectors harboring such a polynucleotide sequence.

In another aspect, the invention provides methods of killing or inhibiting the growth of a cell expressing hROR2 in a subject. The methods entail administering a therapeutically effective amount of an anti-hROR2 antibody, antibody-based binding protein, antibody fragment thereof, antibody drug conjugate (ADC), or CAR disclosed herein to a subject in need of treatment. This enables killing or inhibiting the growth of the cell expressing hROR2 in the subject. In various embodiments, the cell expressing hROR2 is a tumor cell, in a related aspect, the invention provides methods of treating a disease or condition associated with elevated expression of hROR2 in a subject. These methods involve administering a therapeutically effective amount of an anti-hROR2 antibody, antibody-based binding protein, antibody fragment thereof; antibody drug conjugate (ADC), or CAR of the invention to a subject that is afflicted with a disease or condition associated with elevated expression of hROR2. This enables treatment of the disease or condition in the subject. Some of these methods are directed to treating a cancer in the subject. Cancers that are amendable to treatment with methods of the invention include, e.g., neuroblastoma, osteosarcoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, melanoma, squamous cell carcinoma and multiple myeloma. In various embodiments, the administered anti-hROR2 antibody, antibody-based binding protein, antibody fragment thereof; or the antibody drug conjugates (ADC) or CARs based thereon, are F(ab)2, Fv, scFv, IgGACH2, F(ab′)2, scFv2CH3, Fab, VL, VH, scFv4, scFv3, scFv2, dsFv, Fv, (scFv)2, or a synthetic IgG. In some methods, the administered anti-hROR2 antibody, antibody-based binding protein or antibody fragment thereof is conjugated to a synthetic molecule. In some of these embodiments, the anti-hROR2 antibody, antibody-based binding protein, antibody fragment thereof is conjugated to a transmembrane region and an intracellular T-cell receptor (TCR) signaling domain to form a chimeric antigen receptor (CAR). In some embodiments, the chimeric antigen receptor (CAR) is present on a T cell to be administered to the subject. In some other embodiments, the antibody can be conjugated to a cytotoxic agent, a radioisotope, or a liposome.

In another aspect, the invention provides methods for detecting an altered ROR2 level in a subject. The methods involve (a) obtaining a biological sample from the subject, (b) contacting the sample with an anti-hROR2 antibody, antibody-based binding protein, antibody fragment thereof disclosed herein, (c) determining the level of ROR2 in the biological sample, and (d) comparing the level of ROR2 in the biological sample to a control level of ROR2. This allows determination of whether the ROR2 level in the biological sample is altered relative to the control level of ROR2. In these methods, an increased ROR2 level in the subject relative to the control level is indicative of a disease or condition associated with elevated expression of ROR2 in the subject. For example, detection of elevated ROR2 expression can be indicative of the presence of neuroblastoma, osteosarcoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, melanoma, squamous cell carcinoma, or multiple myeloma in the subject.

In still another aspect, the invention provides methods for detecting an ROR2-expressing tumor in a subject. These methods entail (a) administering an anti-hROR2 antibody, antibody-based binding protein, antibody fragment thereof of the invention to a subject that has, is suspected to have, or is at risk of developing an ROR2-expressing tumor, and (b) imaging the subject for a region of altered conjugated label density or concentration, wherein the density or concentration is relative to (i) background in proximal tissue or (ii) the density or concentration previously detected in the same region of the subject. The existence of a region of altered conjugated label density or concentration is an indication of the presence of an ROR2-expressing tumor in the subject.

A further understanding of the nature and advantages of the present invention may be realized by reference to the remaining portions of the specification and claims.

DESCRIPTION OF THE DRAWINGS

FIG. 1 shows amino acid sequences of variable immunoglobulin heavy and light chains of novel rabbit anti-hROR2 mAbs as indicated. The amino acid sequence alignment of the rabbit variable domains (V_(k), V_(λ) and V_(H)) clones is shown with framework regions (FR) and complementarity determining regions (CDR) using Kabat numbering. Shown in the figure are the heavy chain variable domain sequences (SEQ ID NOs:1-12, respectively) and the light chain variable domain sequences (SEQ ID NOs:13-24, respectively) of 12 antibodies designated XBR2-401, XBR2-416, XBR2-433, XBR2-327, XBR2-TOP9, XBR2-TOP72, ERR2-302, ERR2-308, ERR2-316, ERR2-317, ERR2-TOP2, and ERR2-TOP35. As indicated in the figure, clones XBR2-401, XBR2-416, XBR2-327, XBR2-TOP9, ERR2-308, ERR2-316, ERR2-317, and ERR2-TOP2 comprise variable domains of immunoglobulin K light chains, while antibodies XBR2-433, XBR2-TOP72, ERR2-302, and ERR2-TOP35 comprise variable domains of immunoglobulin λ light chains.

FIG. 2 shows binding activity of chimeric rabbit/human Fabs to ROR2. (A) The binding of each chimeric rabbit/human Fab to immobilized human ROR2 (hFc-hROR2). As controls for the hROR2 specificity, ELISAs with the sister-molecule of ROR2, hROR1 (hFc-hROR1) expressed in mammalian cells and with BSA as an unrelated control were performed with the different novel antibodies identified in the phage-display selection against hFc-hROR2. (B) The panel displays the binding of chimeric rabbit/human Fab to ectopically expressed hROR2 on mouse pre-B cell (63-12) surface as analyzed by flow cytometry.

FIG. 3 is a schematic representation of the structure of various hROR2 domain proteins and control proteins displayed on HEK 293F cells for epitope mapping studies of the novel identified antibodies. Eight constructs with different isolated domains of the extracellular domains (ECD) of human ROR2 or control domains, were cloned and stably transfected into HEK 293F cells.

FIG. 4 shows binding of various antibodies to recombinantly expressed human ROR2 (hROR2). (A) The ectopic expression of hROR2 with different SNP at amino acid position 245 and mouse ROR2 (mROR2) in HEK 293F cells was detected by flow cytometry using a commercially available biotinylated rat anti-hemagglutinin (HA) monoclonal antibody (Roche) followed by phycoerythrin (PE)-conjugated streptavidin (BioLegend). (B) The binding of each novel chimeric rabbit/human Fab to hROR2-T245, hROR2-A245 and mROR2 displayed on the HEK 293F cell surface was analyzed by flow cytometry.

FIG. 5 shows epitope mapping studies for mAb XBR2-401 by flow cytometry. The epitope of chimeric rabbit/human IgG1 XBR2-401 was determined by flow cytometry using HEK 293F cells displaying different compositions of the three extracellular domains (Immunoglobulin, Frizzled and Kringle domain, abbreviated Ig, Fr and Ki) of hROR2-T245. Binding to hROR2 Ig, Fr, Ki, Ig+Fr, Fr+Ki and complete ECD (extracellular domain) expressed on HEK 293F cells was detected by flow cytometry.

FIG. 6 shows epitope mapping studies for BR2-433 by flow cytometry. The epitope of chimeric rabbit/human IgG1 XBR2-433 was determined by flow cytometry using HEK 293F cells displaying different compositions of the three extracellular domains (Immunoglobulin, Frizzled and Kringle domain, abbreviated Ig, Fr and Ki) of ROR2-T245 Binding to hROR2 Ig, Fr, Ki, Ig+Fr, Fr+Ki and complete ECD (extracellular domain) expressed on HEK 293F cells was detected by flow cytometry,

FIG. 7 shows epitope mapping studies for XBR2-416 by flow cytometry. The epitope of chimeric rabbit/human IgG1 XBR2-416 was determined by flow cytometry using HEK 293F cells displaying different compositions of the three extracellular domains (Immunoglobulin, Frizzled and Kringle domain, abbreviated Ig, Fr and Ki) of hROR2-T245. Binding to hROR2 Ig, Fr, Ki, Ig+Fr, Fr+Ki and complete ECD (extracellular domain) expressed on HEK 293F cells was detected by flow cytometry.

FIG. 8 shows epitope mapping studies for ten chimeric rabbit/human Fabs by flow cytometry. The epitopes of each chimeric rabbit/human Fab were determined by flow cytometry using HER 293F cells displaying different compositions of the three extracellular domains (Immunoglobulin, Frizzled and Kringle domain, abbreviated Ig, Fr and Ki) of hROR2-T245. Binding to hROR2 Ig, Fr, Ki, Ig+Fr, Fr+Ki and complete ECD (extracellular domain) expressed on HEK 293F cells was detected by flow cytometry.

FIG. 9 shows epitope binding studies performed by surface plasmon resonance (SPR). Shown are SPR sensorgrams obtained for the binding of different Fabs to hFc-hROR2 captured by anti-human Fc-γ antibody immobilized on a CM5 chip. Fabs were injected in different orders and mixtures to identify independent and overlapping epitopes. Resonance unit (RU, γ axis) increases that exceeded the values found for previously existed Fabs indicated independent epitopes because they allow simultaneous binding. For example, the RUs found for the combination of Fab XBR2-TOP72, XBR2-327, ERR2-TOP2, XBR2-416, and XBR2-401 (right graph) exceeded the values found for XBR2-401 alone or the combination of XBR2-327, ERR2-TOP2, XBR2-416, and XBR2-401, indicating that all those five Fabs can bind simultaneously to human ROR2 and therefore to different regions of the protein. The x axis depicts the time in seconds (s).

FIG. 10 shows affinity measurements of anti-hROR2 specific Fabs to hROR2 ECD by surface plasmon resonance. (A) Shown are Biacore X100 sensorgrams obtained for the binding of each Fab to Fc-hROR2 captured by anti-human Fc-γ antibody immobilized on a CMS chip after instantaneous background depletion. Fabs were injected at five different concentrations with the highest concentration indicated in table (B), one of the five concentrations was tested in duplicates. (B) Monovalent affinities of each Fab are shown in the table. The equilibrium dissociation constant (K_(D)) was calculated from k_(off)/k_(on) (k_(on), association rate constant; k_(off), dissociation rate constant).

FIG. 11 shows the binding activity of selected chimeric rabbit/human IgG1 to endogenous hROR2 expressed on breast cancer cells measured by flow cytometry. Human breast cancer cell lane T47D is known to express hROR2, human breast cancer cell line MDA-MB-231 is known to be negative for hROR2. In contrast, T47D is known to be ROR1 negative, whereas MDA-MB-231 is known to be positive for ROR1 expression. (A) The expression of endogenous hROR2 on breast cancer cells was detected by flow cytometry using commercially available goat anti-human ROR2 polyclonal antibodies (R&D Systems) followed by Alexa Fluor 647-conjugated AffiniPure F(ab′)₂ donkey anti-goat IgG (H+L) polyclonal antibodies (Jackson ImmunoResearch Laboratories). (B) Binding of chimeric rabbit/human IgG1 to hROR2 was detected by flow cytometry on the cell surface of human T47D breast cancer cells. Human MDA-MB-231 breast cancer cells were used as a negative control cell line.

FIG. 12 shows the binding activity of chimeric rabbit/human IgG1 XBR2-401 to denatured hROR2 in Western-blotting experiments using lysates from non-transfected 63-12 cells (lane 2), as well as 63-12 cells ectopically expressing hROR1 (lane 1) or hROR2 (lane 3). In addition, Western-blotting was used to determine the binding to the purified extracellular domain of hROR2 (lane 4) or hROR1 (lane 5).

FIG. 13 shows schematically how site-specifically conjugated ADCs disclosed in this invention have been generated, (A) shows schematically the mechanism of sortase-enzyme mediated antibody conjugation (SMAC-technology) as disclosed in WO2014140317. In order to generate site-specifically conjugated ADCs, recombinant antibodies were expressed with the C-terminal pentapeptide motif LPXTG (SEQ ID NO:139), which serve as recognition sites for the sortase enzyme A from Staphylococcus aureus (SrtA). When a glycine modified toxin substrate is incubated with pentapeptide motif LPXTG containing antibody and sortase A enzyme, the sortase A enzyme catalyzes a transpeptidation reaction by which the glycine-modified toxin replaces the C-terminal glycine of the LPXTG motif and is covalently coupled to the threonine of the remaining LPXT (SEQ ID NO:142) sequence. This way site-specifically and C.-terminally toxin-conjugated ADCs can be generated with high efficiency. (B) shows the structure of the preferred toxin, a PNU-159682 derivative comprising a glycine(5×)-ethylene-diamino (Gly₍₅₎-EDA) linker connecting a 5× glycine stretch to the carbonyl group at C13 of the anthracycline structure, as disclosed in WO20/6102697.

FIG. 14 shows binding of full length IgG1 antibodies to recombinant ECD of human and mouse ROR2. Panels (A) and (B) show the binding specificity of selected clones of the invention expressed as full-length chimeric rabbit-human IgG1 antibodies to purified, recombinant ECD of human and mouse ROR2 analyzed by ELISA. Panels (C) and (D) show the binding specificity of selected clones of the invention expressed as full-length chimeric rabbit-human IgG1 antibodies to purified, recombinant ECD of human and cynomolgus ROR2 analyzed by ELISA.

FIG. 15 shows in vitro cell killing activity of site-specifically conjugated PNU-ADCs generated with selected clones of the invention expressed as full-length chimeric rabbit-human IgG1 on (B) mouse breast cancer cell line EMT6, or (A) human ROR2 transfected EMT6 cells (clone 14). An unrelated, PNU-ADC with irrelevant specificity was used as an isotype-matched control ADC. Panel (C) shows the relative expression of hROR2 in hROR2 transfected EMT6-clone 14 versus untransfected EMT6 cells as detected by flow cytometry with a hROR2-specific antibody.

FIG. 16 shows a comparison of the in vitro activities of ROR2-targeting XBR2-401 CAR-T cells on ROR2 negative human breast cancer cells MDA-MB4231, and on ROR2 positive human breast cancer cells T47D with short and long spacer. The upper panels show the cellular proliferation of T cells with or without CARs (long and short spacer) as indicated upon co-culture with ROR2 negative MDA-MB-231 and ROR2 positive T47D cells and as analyzed by CFSE staining. Only ROR2 positive T47D cells induce very strong proliferation of T cells engineered with a ROR2 CAR with long spacer. The lower panels show the corresponding cell killing activity at different effector-target ratios of CAR T cells to breast cancer target cells as indicated. Also this data set shows strongest activity of the T cells with a ROR2 CAR having a long spacer.

FIG. 17 provides an overview of the method for specificity analysis of chimeric rabbit/human anti-human ROR2 IgG1 XBR2-401 and, as a control, chimeric rabbit/human anti-human ROR1 IgG1 XBR1-402, with the Retrogenix Cell Microarray Platform.

FIG. 18 shows a specificity analysis of chimeric rabbit/human anti-human ROR2 IgG1 XBR2-401 and, as a control, chimeric rabbit/human anti-human ROR1 IgG1 XBR1-402, with the Retrogenix Cell Microarray Platform. Primary binding hits from the large screen involving 4,336 human plasma membrane proteins (see FIG. 17) were combined on a single slide and stained with chimeric rabbit/human anti-human ROR2 IgG1 XBR2-401 and, as controls, chimeric rabbit/human anti-human ROR1 IgG1 XBR1-402 and a rituximab biosimilar. ZsGreen 1 signals on the left indicate the expression levels of the various human membrane proteins. In addition to their respective cognate antigens (ROR2, ROR1, and CD20), the tested antibodies for ROR1 and ROR2 in IgG1 format also bind to Fcγ receptors FCGR3B (CD16B), FCGR1A (CD64A), and FCGR2A (CD32A) as expected. Staining with the secondary antibody alone detects the human IgG3 heavy chain (IGHG3) as expected.

DETAILED DESCRIPTION

I. Overview

Receptor tyrosine kinase orphan receptors-1 and-2, ROR1 and ROR2, are the only two family members defining a new receptor tyrosine kinase family, based on the overall structural design and some functional similarities. Both ROR1 and ROR2 proteins are type I-single pass trans-membrane receptors with an extracellular domain (ECD) consisting of an immunoglobulin domain, a cysteine rich frizzled domain and a Kringle domain. These three extracellular domains are followed by a trans-membrane domain connecting the ECD to an intracellular portion of the protein comprising kinase domains (Rabagay et al. (2012) Frontiers Oncol. 2: 1-8).

The human ROR1 and ROR2 proteins are 58% homologous between each other, but each of the ROR proteins is highly conserved between species. This represents a challenge for the development of human ROR2 specific monoclonal antibodies and very few antibodies are known, and no sequences of anti-ROR2 antibodies have been described in the literature.

In order to develop anti-hROR2 antibodies, the present inventors have generated a very high-complexity nave rabbit antibody Fab library displayed by phage and selected this library for binders to the mammalian cell expressed human ECD of hROR2 and to cell-surface expressed human ROR2, in order to select most functional and diverse antibody clones reactive with native human ROR2 protein.

This strategy was chosen, because the antibody repertoire to be mined is still derived from natural rabbit B lymphocytes and thus selected for immune-system pre-selected antibody heavy and light chains. However, due to the applied screening strategy involving native recombinant and cell-expressed human ROR2 it was the hope that hROR2 specific antibodies would be identified with high functional qualities that are potentially useful for the therapy of human diseases associated with ROR2 expression, like in particular ROR2-positive cancer.

As a result of the chosen strategy a number of novel rabbit high-affinity anti-human ROR2 antibodies have been identified with diverse CDR1, 2 and 3 sequences (FIG. 1) and with high binding selectivity for human ROR2, but not for its most related “sister molecule”, human ROR1 (FIGS. 2 and 3). Some of the hROR2-specific antibodies showed high affinity (single-digit nM affinities) to the hROR2 target (FIG. 10). The invention is predicated in part on the generation by the present inventors of a large naïve chimeric rabbit/human Fab library and selection for binders to human ROR2. As detailed herein, several monoclonal chimeric rabbit/human Fab antibodies (mAbs) were obtained by the inventors (see FIG. 1). These mAbs all bind to purified human ROR2 as analyzed by ELISA and to cell surface human ROR2 as analyzed by flow cytometry. Neither binds to ROR1, which is the closest relative of ROR2 and shares 58% amino acid sequence identity with ROR2. In addition, the affinity of the mAbs and the location of their epitopes (which are different) have been determined. Further, several mAbs (antibody clones XBR2-401 XBR2-416, XBR2-433, ERR2-302, ERR2-308, ERR2-317, XBR2-327, and XBR2-TOP72) were also converted to the chimeric rabbit/human IgG1 format, expressed in mammalian cells, and purified by Protein A affinity chromatography. Binding activities of these IgG1 antibodies were also determined.

In addition to this, several, mAbs were expressed as chimeric rabbit/human IgG1 with C-terminal sortase-recognition tags, allowing site-specific conjugation of payloads to the antibody C-termini by sortase-enzyme mediated antibody conjugation technology (SMAC-technology™) essentially as described in WO2014140317. These anti-hROR2 antibodies have then been site-specifically conjugated to a highly potent anthracycline-based PNU-15968.2 toxin derivative, Gly₅-EDA-PNU (FIG. 13), in order to generate antibody drug conjugates (ADCs), essentially as disclosed in WO2016102679 (which is incorporated by reference herein). These ADCs have functionally been evaluated in vitro, and all have been found to effectively kill mouse breast cancer cells ectopically expressing human ROR2,

To further investigate the therapeutic utility of ROR2-targeting mAbs, CAR-T cells based on XBR2-401 were engineered using previously described methods (Hudecek, M., Lupo-Stanghellini, M. T., Kosasih, P. L., Sommermeyer, D., Jensen, M. C., Rader, C., and Riddell, S. R. (2013) Receptor affinity and extracellular domain modification affect tumor recognition by ROR1-specific chimeric antigen receptor T cells. Clin. Cancer Res. 19, 3153-3164). In brief, ex vivo expanded healthy donor CD8+ CD62L+ T cells were lentivirally transduced with an EF1α promoter-driven expression cassette containing XBR2-401 in scFv format, followed by a short or long spacer, the transmembrane domain of human CD28, the signaling domain of 4-113B, the signaling domain of CD3ζ, and a T2A-separated transmembrane EGFR fragment with truncated ligand binding and tyrosine kinase domains. FACS isolation of EGFR+ transduced T cells, revealed robust anti-ROR2 recognition in >90% of CAR-T cells. The activity of the ROR2-targeting XBR2-401 CART with short and long spacer was tested against breast cancer cell lines T47D (ROR2+ ROR1) and MDA MB-231 (ROR2-ROR1+). Since XBR2-401 binds to a membrane-proximal epitope in the Kr domain of ROR2, the inventors hypothesized predicted that XBR2-401 CAR-T cells are more active with a long rather than a short spacer. This was confirmed with respect to proliferation, IFN-γ and IL-2 secretion, and cytotoxicity in the presence of ROR2+ ROR1-target cells (FIG. 16).

In accordance with these studies, the present invention provides monoclonal antibodies and related antibody-based binding proteins and antibody fragments (antigen-binding fragments) thereof that specifically recognize hROR2. The invention also provides antibody drug conjugates (ADCs) and chimeric antigen receptors (CARs) derived from the hROR2 antibodies described herein. Further provided in the invention are methods of using these antibody agents and related compositions in therapeutic and diagnostic applications for diseases and conditions with associated abnormal or elevated ROR2 expression, e.g., cancer.

II. Definitions

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by those of ordinary skill in the art to which this invention pertains. The following references provide one of skill with a general definition of many of the terms used in this invention: Academic Press Dictionary of Science and Technology, Morris (Ed.), Academic Press (1^(st) ed., 1992); Oxford Dictionary of Biochemistry and Molecular Biology, Smith et al. (Eds.), Oxford University Press (revised ed., 2000); Encyclopaedic Dictionary of Chemistry, Kumar (Ed.), Anmol Publications Pvt. Ltd. (2002); Dictionary of Microbiology and Molecular Biology, Singleton et al. (Eds.), John Wiley & Sons (3^(rd) ed., 2002); Dictionary of Chemistry, Hunt (Ed.), Routledge (1^(st) ed., 1999); Dictionary of Pharmaceutical Medicine, Nahler (Ed.), Springer-Verlag Telos (1994); Dictionary of Organic Chemistry, Kumar and Anandand (Eds.), Anmol Publications Pvt. Ltd. (2002); and A Dictionary of Biology (Oxford Paperback Reference), Martin and Hine (Eds.), Oxford University Press (4^(th) ed., 2000). In addition, the following definitions are provided to assist the reader hi the practice of the invention.

The term “antibody” also synonymously called “immunoglobulins” (Ig), “antigen-binding fragment” refers to polypeptide chain(s) which exhibit a strong monovalent, bivalent or polyvalent binding to a given antigen, epitope or epitopes. Unless otherwise noted, antibodies or antigen-binding fragments used in the invention can have sequences derived from any vertebrate species. They can be generated using any suitable technology, e.g., hybridoma technology, ribosome display, phage display, gene shuffling libraries, semi-synthetic or fully synthetic libraries or combinations thereof. Unless otherwise noted, the term “antibody” as used in the present invention includes intact antibodies, antigen-binding polypeptide fragments and other designer antibodies that are described below or well known in the art (see, e.g., Serafini, J Nucl. Med. 34:533-6, 1993),

An intact “antibody” typically comprises at least two heavy (H) chains (about 50-70 kD) and two light (L) chains (about 25 kD) inter-connected by disulfide bonds. The recognized immunoglobulin genes encoding antibody chains include the kappa, lambda, alpha, gamma, delta., epsilon, and mu constant region genes, as well as the myriad immunoglobulin variable region genes. Light chains are classified as either kappa or lambda. Heavy chains are classified as gamma, mu, alpha, delta, or epsilon, which in turn define the immunoglobulin classes, IgG, IgM, IgA, IgD and IgE, respectively.

Each heavy chain of an antibody is comprised of a heavy chain variable region (V_(H)) and a heavy chain constant region. The heavy chain constant region of most IgG isotypes (subclasses) is comprised of three domains, C_(H1), C_(H2) and C_(H3), some IgG isotypes, like IgM or IgE comprise a fourth constant region domain, C_(H4). Each light chain is comprised of a light chain variable region (V_(L)) and a light chain constant region. The light chain constant region is comprised of one domain, C_(L). The variable regions of the heavy and light chains contain a binding domain that interacts with an antigen. The constant regions of the antibodies may mediate the binding of the immunoglobulin to host tissues or factors, including various cells of the immune system and the first component (Clq) of the classical complement system.

The V_(H) and V_(L) regions of an antibody can be further subdivided into regions of hypervariability, also termed complementarity determining regions (CDRs), which are interspersed with the more conserved framework regions (FRs). Each V_(H) and V_(L) is composed of three CDRs and four FRs, arranged from amino-terminus to carboxyl-terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4. The locations of CDR and FR regions and a numbering system have been defined by, e.g., Kabat et al., Sequences of Proteins of Immunological Interest, U.S. Department of Health and Human Services, U.S. Government Printing Office (1987 and 1991).

An “antibody-based binding protein”, as used herein, may represent any protein that contains at least one antibody-derived V_(H), V_(L), or C_(H) immunoglobulin domain in the context of other non-immunoglobulin, or non-antibody derived components. Such antibody-based proteins include, but are not limited to (i) F_(c)-fusion proteins of binding proteins, including receptors or receptor components with all or parts of the immunoglobulin C_(H) domains, (ii) binding proteins, in which V_(H) and or V_(L) domains are coupled to alternative molecular scaffolds, or (iii) molecules, in which immunoglobulin V_(H), and/or V_(L), and/or C_(H) domains are combined and/or assembled in a fashion not normally found in naturally occurring antibodies or antibody fragments (antigen-binding fragments).

“Binding affinity” is generally expressed in terms of equilibrium association or dissociation constants (K_(A) or K_(D), respectively), which are in turn reciprocal ratios of dissociation and association rate constants (k_(off) and k_(on), respectively). Thus, equivalent affinities may correspond to different rate constants, so long as the ratio of the rate constants remains the same. The binding affinity of an antibody is usually be expressed as the K of a monovalent fragment (e.g. a F_(ab) fragment) of the antibody, with K_(D) values h the single-digit nanomolar range or below (subnanomolar or picomolar) being considered as very high and of therapeutic and diagnostic relevance.

As used herein, the term “binding specificity” refers to the selective affinity of one molecule for another such as the binding of antibodies to antigens (or an epitope or antigenic determinant thereof), receptors to ligands, and enzymes to substrates. Thus, all monoclonal antibodies that bind to a particular antigenic determinant of an entity (e.g., a specific epitope of ROR1 or ROR2) are deemed to have the same binding specificity for that entity,

The term “Antibody Drug Conjugate”, or “ADC” refers to an antibody to which a therapeutically active substance or an active pharmaceutical ingredient (API) has been covalently coupled, such that the therapeutically active substance or an active pharmaceutical ingredient (API) can be targeted to the binding target of the antibody to exhibit its pharmacologic function. The therapeutically active substance or an active pharmaceutical ingredient can be a cellular toxin that is able to effect killing of the cells targeted by the ADCs, preferably malignant or cancer cells. The covalent attachment of a therapeutically active substance, an active pharmaceutical ingredient or a cellular toxin can be performed in a non-site specific manner using standard chemical linkers that couple payloads to lysine or cysteine residues, or, preferably the conjugation is performed in a site-specific manner, that allows full control of conjugation site and drug to antibody ratio (DAR) of the ADC to be generated,

The term “conservatively modified variant” applies to both amino acid and nucleic acid sequences. With respect to particular nucleic acid sequences, conservatively modified variants refers to those nucleic acids which encode identical or essentially identical amino acid sequences, or where the nucleic acid does not encode an amino acid sequence, to essentially identical sequences. Because of the degeneracy of the genetic cod; a large number of functionally identical nucleic acids encode any given protein. For instance, the codons GCA, GCC, GCG and GCU all encode the amino acid alanine. Thus, at every position where an alanine is specified by a codon, the codon can be altered to any of the corresponding codons described without altering the encoded polypeptide. Such nucleic acid variations are “silent variations,” which are one species of conservatively modified variations. Every nucleic acid sequence herein which encodes a polypeptide also describes every possible silent variation of the nucleic add. One of skill will recognize that each codon in a nucleic acid (except AUG, which is ordinarily the only codon for methionine, and TGG, which is ordinarily the only codon for tryptophan) can be modified to yield a functionally identical molecule. Accordingly, each silent variation of a nucleic acid that encodes a polypeptide is implicit in each described sequence.

For polypeptide sequences, “conservatively modified variants” refer to a variant which has conservative amino acid substitutions, amino acid residues replaced with other amino acid residue having a side chain with a similar charge. Families of amino acid residues having side chains with similar charges have been defined in the art. These families include amino acids with basic side chains (e.g., lysine, arginine, histidine), acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine), nonpolar side chains (e.g., alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, tryptophan), beta-branched side chains (e.g., threonine, valine, isoleucine) and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan, histidine).

The term “contacting” has its normal meaning and refers to combining two or more agents (e.g., polypeptides or phage), combining agents and cells, or combining two populations of different cells. Contacting can occur in vitro, e.g., mixing an antibody and a cell or mixing a population of antibodies with a population of cells in a test tube or growth medium. Contacting can also occur in a cell or in situ, e.g., contacting two polypeptides in a cell by coexpression in the cell of recombinant polynucleotides encoding the two polypeptides, or in a cell lysate. Contacting can also occur in vivo inside a subject, e.g., by administering an agent to a subject for delivery the agent to a target cell.

The terms “identical” or percent “identity,” in the context of two or more nucleic acids or polypeptide sequences, refer to two or more sequences or subsequences that are the same. Two sequences are “substantially identical” if two sequences have a specified percentage of amino acid residues or nucleotides that are the same 60% identity, optionally 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 99% identity over a specified region, or, when not specified, over the entire sequence), when compared and aligned for maximum correspondence over a comparison window, or designated region as measured using one of the following sequence comparison algorithms or by manual alignment and visual inspection. Optionally, the identity exists over a region that is at least about 50 nucleotides (or 10 amino acids) in length, or more preferably over a region that is 100 to 500 or 1000 or more nucleotides (or 20, 50, 200 or more amino acids) in length.

Methods of alignment of sequences for comparison are well known in the art. Optimal alignment of sequences for comparison can be conducted, e.g., by the local homology algorithm of Smith and Waterman, Adv. Appl. Math. 2:482c, 1970; by the homology alignment algorithm of Needleman and Wunsch, J. Mol. Biol. 48:443, 1970; by the search for similarity method of Pearson and Lipman, Proc. Nat'l. Acad. Sci. USA 85:2444, 1988; by computerized implementations of these algorithms (GAP, BESTFIT, PASTA, and TFASTA in the Wisconsin Genetics Software Package, Genetics Computer Group, Madison, Wis.); or by manual alignment and visual inspection (see, e.g., Brent et al., Current Protocols in Molecular Biology, John Wiley & Sons, Inc. (ringbou ed., 2003)). Two examples of algorithms that are suitable for determining percent sequence identity and sequence similarity are the BLAST and BLAST 2.0 algorithms, which are described in Altschul et al., Nuc. Acids Res. 25:3389-3402, 1977; and Altschul et al., J. Mol. Biol. 215:403-410, 1990, respectively,

The term “subject” refers to human and non-human animals (especially non-human mammals). The term “subject” is used herein, for example, in connection with therapeutic and diagnostic methods, to refer to human or animal subjects. Animal subjects include, but are not limited to, animal models, such as, mammalian models of conditions or disorders associated with elevated ROR2 expression such as neuroblastoma, osteosarcoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, melanoma, squamous cell carcinoma, multiple myeloma and other cancers. Other specific examples of non-human subjects include, e.g., cows, horses, sheep, pigs, cats, dogs, mice, rats, rabbits, guinea pigs, monkeys.

Artificial T cell receptors (also known as chimeric T cell receptors, chimeric immunoreceptors, chimeric antigen receptors (CARs) or T-bodies) are engineered receptors, which graft an arbitrary specificity onto an immune effector cell. Typically, these receptors are used to graft the specificity of a monoclonal antibody onto a T cell; with transfer of their coding sequence facilitated by retroviral or lentiviral vectors or by transposons, CAR-engineered T cells (also abbreviated CAR-T cells) are genetically engineered T cells armed with chimeric receptors whose extracellular recognition unit is comprised of an antibody-derived recognition domain and whose intracellular region is derived from lymphocyte stimulating moiety(ies). The structure of the prototypic CAR is modular, designed to accommodate various functional domains and thereby to enable choice of specificity and controlled activation of T cells. The preferred antibody-derived recognition unit is a single chain variable fragment (scFv) that combines the specificity and binding residues of both the heavy and light chain variable regions of a monoclonal antibody. The most common lymphocyte activation moieties include a T-cell costimulatory (e.g. CD28) domain in tandem with a T-cell triggering (e.g. CD3zeta) moiety. By arming effector lymphocytes (such as T cells and natural killer cells) with such chimeric receptors, the engineered cell is redirected with a predefined specificity to any desired target antigen, in a non-HLA restricted manner. CAR constructs are introduced ex vivo into I cells from peripheral lymphocytes of a given patient using retroviral or lentiviral vectors or transposons. Following infusion of the resulting CAR-engineered T cells back into the patient, they traffic, reach their target site, and upon interaction with their target cell or tissue, they undergo activation and perform their predefined effector function. Therapeutic targets for the CAR approach include cancer and HIV-infected cells, or autoimmune effector cells.

The terms “treat,” “treating,” “treatment,” and “therapeutically effective” used herein do not necessarily imply 100% or complete treatment. Rather, there are varying degrees of treatment recognized by one of ordinary skill in the art as having a potential benefit or therapeutic effect hi this respect, the inventive method can provide any amount of any level of treatment. Furthermore, the treatment provided by the inventive method can include the treatment of one or more conditions or symptoms of the disease being treated.

A “vector” is a replicon, such as plasmid, phage or cosmid, to which another polynucleotide segment may be attached so as to bring about the replication of the attached segment. Vectors capable of directing the expression of genes encoding for one or more polypeptides are referred to as “expression vectors”.

III. Antibodies, Antibody-Based Binding Proteins, Antibody Fragments Thereof, Antibody Drug Conjugates (ADCs), or CARs Specifically Binding to ROR2 and Related Derivative Compounds

In one aspect, the invention provides novel antibodies, antibody-based binding proteins, antibody fragments (also termed “antigen-binding fragments”) thereof, ADCs or CARs that specifically bind to human ROR2 with the same binding specificity as that of anti-ROR2 antibody exemplified herein (FIG. 1). Antibodies of the invention include intact antibodies (e.g., IgG1 antibodies exemplified herein), antibody fragments (e.g., Fab antibodies exemplified herein), antibody-based binding proteins, antibody fragments thereof, ADCs or CARs which contain the antigen-binding portions of an intact antibody that retain capacity to bind the cognate antigen, ROR2. Examples of such antibody fragments include (i) a Fab fragment, a monovalent fragment consisting of the V_(L), V _(H), C_(L) and C_(H1) domains; (ii) a F(ab′)₂ fragment, a bivalent fragment comprising two Fab fragments linked by a disulfide bridge at the hinge region; (iii) a Fd fragment consisting of the V_(H) and C_(H) domains; (iv) a Fv fragment consisting of the V_(L) and V_(H) domains of a single arm of an intact antibody; (v) disulfide stabilized Fvs (dsFvs) which have an interchain disulfide bond engineered between structurally conserved framework regions; (vi) a single domain antibody (dAb) which consists of a V_(H) or V_(L) domain (see, e.g., Ward et al., Nature 341:544-546, 1989); and (vii) an isolated complementarity determining region (CDR) as a linear or cyclic peptide. Examples of antibody-based binding proteins are polypeptides in which the binding domains of the antibodies are combined with other polypeptides or polypeptide domains, e.g. alternative molecular scaffolds, Fc-regions, other functional or binding domains of other polypeptides or antibodies resulting in molecules with addition binding properties, e.g. bi- or multispecific proteins or antibodies. Such polypeptides can create an arrangement of binding or functional domains normally not found in naturally occurring antibodies or antibody fragments.

Antibodies of the invention also encompass antibody fragments, like single chain antibodies. The term “single chain antibody” refers to a polypeptide comprising a V_(H) domain and a V_(L) domain in polypeptide linkage, generally linked via a spacer peptide, and which may comprise additional domains or amino acid sequences at the amino- and/or carboxyl-termini. For example, a single-chain antibody may comprise a tether segment for linking to the encoding polynucleotide. As an example, a singe chain variable region fragment (scFv) is a single-chain antibody. Compared to the V_(L) and V_(H) domains of the Fv fragment which are coded for by separate genes, a scFv has the two domains joined (e.g., via recombinant methods) by a synthetic linker. This enables them to be made as a single protein chain in which the V_(L) and V_(H) regions pair to form monovalent molecules.

Antibodies of the present invention also encompass single domain antigen-binding units, which have a camelid scaffold. Animals in the camelid family include camels, llamas, and alpacas. Camelids produce functional antibodies devoid of light chains. The heavy chain variable (V_(H)) domain folds autonomously and functions independently as an antigen-binding unit. Its binding surface involves only three CDRs as compared to the six CDRs in classical antigen-binding molecules (Fabs) or single chain variable fragments (scFvs). Camelid antibodies are capable of attaining binding affinities comparable to those of conventional antibodies.

The various antibodies, antibody-based binding proteins, and antibody fragments thereof described herein can be produced by enzymatic or chemical modification of the intact antibodies, or synthesized de nova using recombinant DNA methodologies, or identified using phage display libraries. Methods for generating these antibodies, antibody-based binding proteins, and antibody fragments thereof are all well known in the art. For example, single chain antibodies can be identified using phage display libraries or ribosome display libraries, gene shuffled libraries (see, e.g., McCafferty et al., Nature 348:552-554, 1990; and U.S. Pat. No. 4,946,778). In particular, scFv antibodies can be obtained using methods described in, e.g., Bird et al., Science 242:423-426, 1988; and Huston et al. Proc. Natl. Acad. Sci. USA 85:5879-5883, 1988. Fv antibody fragments can be generated as described in Skerra and Plückthun, Science 240:1038-41, 1988. Disulfide-stabilized Fv fragments (dsFvs) can be made using methods described in, e.g., Reiter et al. Int. J. Cancer 67:113-23, 1996. Similarly, single domain antibodies (dAbs) can be produced by a variety of methods described in, e.g., Ward et al. Nature 341:544-546, 1989; and Cai and Garen, Proc. Natl. Acad. Sci. USA 93:6280-85, 1996. Camelid single domain antibodies can be produced using methods well known in the art, e.g., Dumoulin et al., Nat. Struct. Biol. 11:500-515, 2002; Ghahroudi et al., FEBS Letters 414:521-526, 1997; and Bond et al., J. Mol. Biol. 332:643-55, 2003. Other types of antigen-binding fragments (e.g., Fab, F(ab′)₂ or Fd fragments) can also be readily produced with routinely practiced immunology methods. See, e.g., Harlow & Lane, Using Antibodies, A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y. 1998.

In some embodiments, the antibodies, antibody fragments, antibody-based binding proteins, ADCs or CARs of the invention have their heavy chain CDR1, CDR2 and CDR3 sequences and their light chain CDR1, CDR2 and CDR3 sequences that are substantially identical to that of the antibodies shown in FIG. 1. The light chain and heavy chain CDR sequences of the exemplified antibodies are all indicated in the figure. In some of these embodiments, the antibodies, antibody fragments, antibody-based binding proteins, ADCs or CARs have (1) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:25-27, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:61-63, respectively; (2) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:28-30, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:64-66, respectively; (3) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:31-33, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:67-69, respectively; (4) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:34-36, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:70-72, respectively; (5) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:37-39, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:73-75, respectively; (6) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:40-42, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:76-78, respectively; (7) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:43-45, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:79-81, respectively; (8) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:46-48, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:82-84, respectively; (9) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:49-51, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:85-87, respectively; (10) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:52-54, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:88-90, respectively; (11) heavy chain CDR1-3 sequences that are substantially identical to SEQ 1.1 NOs:55-57, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:91-93, respectively; or (12) heavy chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:58-60, respectively; and light chain CDR1-3 sequences that are substantially identical to SEQ ID NOs:94-96, respectively.

In some embodiments, the antibodies, antibody fragments, antibody-based binding proteins, ADCs or CARs of the invention comprise the heavy chain CDR1-CDR3 and light chain CDR1-CDR3 sequences that are respectively identical to the sequences shown in (1) SEQ ID NOs:25-27 and SEQ ID NOs:61-63 (antibody XBR2-401), (2) SEQ ID NOs:28-30 and SEQ ID NOs:64-66 (antibody XBR2416), (3) SEQ ID NOs:31-33 and SEQ ID NOs:67-69 (antibody XBR2-433), (4) SEQ ID NOs:34-36 and SEQ ID NOs:70-72 (antibody XBR2-327), (5) SEQ ID NOs:37-39 and SEQ ID NOs:73-75 (antibody XBR2-TOP9), (6) SEQ ID NOs:40-42 and SEQ ID NOs:76-78 (antibody XBR2.-TOP72), (7) SEQ ID NOs:4345 and SEQ ID NOs:79-81 (antibody ERR2-302), (8) SEQ ID NOs:46-48 and SEQ ID NOs:82-84 (antibody ERR2-308), (9) SEQ ID NOs:49-51 and SEQ ID NOs:85-87 (antibody ERR2-316), (10) SEQ ID NOs:52-54 and SEQ ID NOs:88-90 (antibody ERR2-317), (11) SEQ ID NOs:55-57 and SEQ ID NOs:91-93 (antibody ERR2-TOP2), or (12) SEQ ID NOs:58-60 and SEQ ID NOs:94-96 (antibody ERR2-TOP35).

In other embodiments, the antibodies, antibody fragments, antibody-based binding proteins, ADCs or CARS of the invention that specifically bind to human ROR2 contain (a) a light chain variable domain having a sequence that is substantially identical to any one of SEQ ID NOs:13-24, (b) a heavy chain variable domain having a sequence that is substantially identical to any one of SEQ ID NOs:1-12, or (c) both a light chain of (a) and a heavy chain of (b). In some embodiments, the antibody, antibody fragment, antibody-based binding protein, ADC or CAR of the invention comprises both a light chain of (a) and a heavy chain of (b). In some embodiments, the antibody, antibody fragment, antibody-based binding protein, ADC or CAR of the invention contains (a) a light chain variable domain having at least 90% identity to any one of SEQ ID NOs:13-24, (b) a heavy chain variable domain having at least 90% sequence identity to any one of SEQ ID NOs:1-12, or (c) both a light chain of (a) and a heavy chain of (b). In some embodiments, the percentage identity can be at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99%, or even 100%. In some embodiments, the light chain variable domain has at least 95% identity to any one of SEQ ID NOs:13-24, In some embodiments, the light chain variable domain has 100% identity to any one of SEQ ID NOs: 3-24, in some embodiments, the antibody, antibody fragment, antibody based binding protein, ADC or CAR of the invention contains a heavy chain variable domain having at least 90% identity to any one of SEQ ID NOs:1-12. In other embodiments, the percentage identity can be at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99%, or even 100%. In some embodiments, the heavy chain variable domain has at least 95% identity to any one of SEQ ID NOs:1-12. Ian some embodiments, the heavy chain variable domain has 100% identity to any one of SEQ ID NOs:1-12.

In some embodiments, the antibody, antibody fragment, antibody-based binding protein, ADC or CAR of the invention of the invention can comprise any heavy chain as described herein (e.g., heavy chains shown in FIG. 1) in combination with any suitable light chain, such as those exemplified herein. Likewise, the antibody can comprise any of the light chains as described above (e.g., light chains shown in FIG. 1) in combination with any suitable heavy chain, such as those exemplified herein. For example, in preferred embodiments, the antibody, antibody fragment, antibody-based binding protein, ADC or CAR of the invention comprises a light chain having at least 90% identity to SEQ ID NO:13 and a heavy chain having at least 90% identity to SEQ ID NO:1, or a light chain having at least 90% identity to SEQ ID NO:14 and a heavy chain having at least 90% identity to SEQ ID NO:2, or a light chain having at least 90% identity to SEQ ID NO:15 and a heavy chain having at least 90% identity to SEQ ID NO:3. In some embodiments, the antibody, antibody fragment, antibody-based binding protein, ADC or CAR of the invention can comprise the light chain and heavy chain sequences respectively shown in (1) SEQ ID NO:13 and SEQ ID NO:1, (2) SEQ ID NO:14 and SEQ ID NO:2, or (3) SEQ ID NO:15 and SEQ ID NO:3. In the various embodiments, percent (%) identity of peptide sequences can be calculated, for example, as 100×[(identical positions)/min(TGA, TGB)], where TGA and TGB are the sum of the number of residues and internal gap positions in peptide sequences A and B in the alignment that minimizes TGA and TGB. See, e.g. Russell et al, J. Mol. Biol., 244: 332-350 (1994).

The antibody, antibody fragment, antibody-based binding protein, ADC or CAR of the invention of the invention can be any antibody including a full length antibody or an antibody fragment that specifically recognizes or binds to the extracellular domain of human ROR2. For example, the antibody, antibody fragment or antibody-based binding protein can be polyclonal, monoclonal, recombinant, chimeric, or humanized. Furthermore, the antibody can be of any isotype including without limitation IgA, IgD, IgE, IgG, or IgM. Thus, for example, the antibody can be any IgA such as IgA1 or IgA2, or any IgG such as IgG1, IgG2, IgG3, IgG4, or synthetic IgG. The antibody can also be any antibody fragment or antibody-based binding protein having specificity for the extracellular domain of human ROR2, such as F(ab)2, Fv, scFv, IgGACH2, F(ab′)2, scFv2CH3, Fab, VL, VH, scFv4, scFv3, scFv2, dsFv, Fv, scFv-Fc, (scFv)2, a diabody, and a bivalent antibody. The antibody can be any modified or synthetic antibody, including, but not limited to, non-depleting IgG antibodies, CARs, or other Fc or Fab variants of antibodies.

In addition to a heavy chain as described above, the antibody, antibody-based binding proteins or antibody fragments thereof of the invention can further comprise a light chain selected from a Fab library using sequential naive chain shuffling. Likewise, in addition to a light chain as described above, the antibody of the invention can further comprise a heavy chain selected from a Fab library using sequential naive chain shuffling.

In some embodiments, the invention provides antibodies, antibody-based binding proteins or antibody fragments thereof that are conservatively modified variants of the anti-ROR2 antibodies exemplified herein. Typically, the variable regions of these variants have an amino acid sequence that is identical to one of these exemplified sequences except for conservative substitutions at one or more amino acid residues. In some embodiments, the antibody, antibody fragment, antibody-based binding protein, ADC or CAR of the invention specifically binds to human ROR2 and contains at least one CDR having a sequence selected from the group consisting of SEQ ID NOs:25-96. The invention also provides an isolated antibody, antibody fragment, antibody-based binding protein, ADC or CAR with specificity for ROR2 containing one or more variants of the foregoing CDR sequences or substantially identically CDR sequences. The variant CDR sequences in these antibodies can include 1, 2, or 3 substitutions, insertions, deletions, or combinations thereof in a sequence selected from the group consisting of SEQ ID NOs:25-96. For example, a recombinant chimeric or humanized antibody (or fragment thereof) can include one, two, three, four, five, or six of the foregoing CDR sequences. In some embodiments, however, the recombinant chimeric or humanized antibody (or fragment thereof) includes three CDR sequences of the same light or heavy chain, e.g., light chain CDRS shown in SEQ ID NOs:61-63, SEQ ID NOs:64-66, or SEQ ID NOs:67-69; and heavy chain CDRs shown in SEQ ID NOs:25-27, SEQ ID NOs:28-30; or SEQ ID NOs:31-33. In some embodiments, the recombinant chimeric or humanized antibody (or fragment thereof) includes six CDR sequences of the same antibody, e.g., (a) SEQ ID NOs:61-63 and SEQ ID NOs:25-27; (b) SEQ NOs:64-66 and SEQ ID NOs:28-30; or (c) SEQ Its NOs:67-69 and SEQ ID NOs:31-33.

In some embodiments, the invention provides antibodies, antibody-based binding proteins or antibody fragments thereof with avidity for ROR2 of about 10 μM or less, 5 μM or less, 2 μM or less, 1 μM or less, 500 nM or less, 400 nM or less, 300 nM or less, or 200 nM or less. In some embodiments, the antibodies, antibody-based binding proteins or antibody fragments thereof bind to ROR2 with an avidity of about 100 nM or less, about 75 nM or less, about 50 nM or less, about 25 nM or less, about 10 nM or less, or about 5 nM or less. In some embodiments, the antibodies, antibody-based binding proteins or antibody fragments thereof bind to ROR2 with an avidity of about 1 nM or less, about 800 pM or less, about 700 pM or less, about 600 pM or less, about 500 pM or less, about 400 pM or less, about 300 pM or less, about 200 pM or less, or about 100 pM or less. Avidity can be measured using art-known techniques, such as ELISA, biolayer inferometry, or surface plasmon resonance.

The antibody, antibody-based binding protein or antibody fragrant thereof of the invention can be produced by any suitable technique, for example, using any suitable eukaryotic or non-eukaryotic expression system. In certain embodiments, the antibody, antibody-based binding protein or antibody fragment thereof is produced using a mammalian expression system. Some specific techniques for generating the antibodies or antigen-binding fragments of the invention are exemplified herein. In some embodiments, the antibodies or antigen-binding fragments of the invention can be produced using a suitable non-eukaryotic expression system such as a bacterial expression system. Bacterial expression systems can be used to produce fragments such as a F(ab)2, Fv, scFv, IgGACH2, F(ab′)2, scFv2CH3, Fab, VL, VH, scFv4, scFv3, scFv2, dsFv, Fv, scFv-Fc, (scFv)2, and diabodies. Techniques for altering DNA coding sequences to produce such fragments are known in the art.

The antibodies, antibody-based binding proteins or antibody fragments thereof of the invention can be conjugated to a synthetic molecule using any type of suitable conjugation. Recombinant engineering and incorporated selenocysteine (e.g., as described in U.S. Pat. No. 8,916,159 issued on Dec. 23, 2014) can be used to conjugate a synthetic molecule. Other methods of conjugation can include covalent coupling to native or engineered lysine side-chain amines or cysteine side-chain thiols. See, e.g., Wu et al., Nat. Biotechnol, 23: 1 137-1 146 (2005).

In a preferred embodiment, the antibodies, antibody-based binding proteins or antibody fragments thereof of the invention conjugated to a synthetic molecule (called “ADC” for antibody drug conjugate with the synthetic molecule being a toxin) are obtained by means of site-specific sortase-enzyme mediated antibody conjugation. As disclosed in WO2014140317, sortases (also called sortase transpeptidases) form a group of prokaryotic enzymes that modify surface proteins by recognizing and cleaving a specific peptide motif called “sortase recognition tag” or “sortase tag”. Usually, a given sortase enzyme recognizes one or more sortase recognition tags. Sortase enzymes can be naturally occurring, or may have undergone genetic engineering (Dorr et al, PNAS 2014; 111, 13343-8).

In a preferred embodiment, the conjugate is obtained by means of site-specific sortase-enzyme mediated conjugation of (a) an antibody, antibody-based binding protein or antibody fragment thereof as described herein carrying one or more sortase recognition tags, and (b) one or more synthetic molecules carrying a glycine or oligoglycine tag, Gly_((n)). Preferably, the sortase recognition tag is fused or conjugated to the C-terminus of at least one subdomain of the antibody. Said sortase recognition tag is preferably selected from the group consisting of LPXSG (SEQ ID NO:137), LPXAG (SEQ ID NO:138), LPXTG (SEQ ID NO:139), LAXTG (SEQ ID NO:140), and NPQTG (SEQ ID NO:141), with X being any amino acid residue. Preferably, the oligoglycine tag, Gly_((n)), has a length of 1 to 21 glycine residues, preferably with a length of 3 to 5 amino acids, i.e., Gly₍₃₎, Gly₍₄₎, or Gly₍₅₎.

The synthetic molecule can be any molecule such as one targeting a tumor. In some embodiments, the synthetic molecule for conjugation to the antibody is a protein an antibody) or an RNA or DNA aptamer. In one embodiment, the antibodies, antibody-based binding proteins or antibody fragments thereof of the invention conjugated to a synthetic molecule have the general formula A−(L−P)_(n), in which: A is an antibody, antibody-based binding protein or antibody fragment thereof as described herein, L is one or more linkers, P is one or more payloads selected from the group consisting of a label and a cytotoxic or cytostatic agent, and in which n is an integer between ≥1 and ≤10, In this embodiment, the linker preferably comprises, or consists of, at least one selected from the group consisting of: an oligopeptide linker (including cleavable and non-cleavable oligopeptide linkers), a hydrazine linker, a thiourea linker, a self-immolative linker, a succinimidyl trans-4-(maleimidylmethyl)cyclohexane-1-carboxylate (SMCC) linker, a maleimide linker, a disulfide linker, a thioether linker, and/or a maleimide linker.

The skilled person understands that further linkers may be suitable. Such linkers may be non-cleavable or may be cleaved by changes in pH, redox potential or specific intracellular enzymes. Cleavable oligopeptide linkers include protease- or matrix metalloprotease-cleavable linkers. It is understood that the linker may comprise combinations of the above. For example, the linker may be a valine-citruline PAB linker. In a preferred embodiment, the linker comprises an oligopeptide with a sequence comprising the pentapeptide motif LPXSG (SEQ ID NO:137), LPXAG (SEQ ID NO:138), LPXTG (SEQ ID NO:139), LAXTG (SEQ ID NO:140), or NPQTG (SEQ ID NO:141) with X being any amino acid, followed by an oligo-glycine stretch, Gly_((n)), with n being an integer between ≥1 and ≤21. In a preferred embodiment, the linker is conjugated to the C-terminus of at least one subdomain of the antibody, antibody-based binding proteins or antibody fragments thereof.

In various embodiments, suitable synthetic molecules (“payloads”) for conjugation to the antibody include, e.g., therapeutic agents such as cytotoxic, cytostatic, or antiangiogenic agents, radioisotopes, and liposomes. A cytotoxic agent can be a plant, fungal, or bacterial molecule. In some embodiments, the cytotoxic agent for conjugation to the antibody of the invention is a small molecular weight toxin (MW<2'000 Dalton, preferably MW<1'000 Dalton), a peptide toxin, or a protein toxin. Many specific examples of these toxins are well known in the art. See, e.g., Dyba et al. Curr. Pharm. Des. 10:2311-34, 2004; Kuyucak et al., Future Med. Chem. 6:1645-58, 2014; Beraud et al., Inflamm. Allergy Drug Targets, 10:322-42, 2011; and Middlebrook et al., Microbiol. Rev. 48:199-221, 1984. In some embodiments, a therapeutic agent is conjugated to the antibody. For example, the therapeutic agent can be a maytansinoid (e.g., maytansinol or DM1 maytansinoid), a taxane, a calicheamicin, a cemadotin, a monomethylauristatin (e.g., monomethylauristatin E or monomethylauristatin F), a pyrrolobenzodiazepine (PBD), preferably an anthracycline, more preferably a derivative of the highly potent anthracycline PNU-159682. Particularly preferred derivatives of the highly potent anthracycline PNU-159682 are disclosed in WO2016102679 (which is incorporated by reference herein). Therapeutic agents also include vincristine and prednisone. In various embodiments, the therapeutic agent that may be employed in the invention can be an antimetabolite (e.g., an antifolate such as methotrexate, a fluoropyrimidine such as 5-fluorouracil, cytosine arabinoside, or an analogue of purine or adenosine); an intercalating agent an intercalating agent (for example, an anthracycline such as doxorubicin, nemorubicine, or preferably a derivative of PNU-159682), daunomycin, epirubicin, idarubicin, mitomycin-C, dactinomycin, or mithramycin, or other intercalating agents such as pyrrolobenzodiazepine); a DNA-reactive agent such as calicheamicins, tiancimycins, and other enediynes; a platinum derivative (e.g., cisplatin or carboplatin); an alkylating agent (e.g., nitrogen mustard, melphalan, chlorambucil, busulphan, cyclophosphamide, ifosfamide nitrosoureas or thiotepa); an RNA polymerase inhibitor such as α-amanitin; an antimitotic agent (e.g., a vinca alkaloid such as vincristine, or a taxoid such as paclitaxel or docetaxel); a topoisomerase inhibitor (for example, etoposide, teniposide, amsacrine, topotecan); a cell cycle inhibitor (for example, a flavopyridol); or a microbtubule agent (e.g., an epothilone, a tubulysine, a pre-tubulysine, discodermolide analog, or an eleutherobin analog). A therapeutic agent can be a proteosome inhibitor or a topoisomerase inhibitor such as bortezomib, amsacrine, etoposide, etoposide phosphate, teniposide, or doxorubicin. Therapeutic radioisotopes include iodine (¹³¹I), yttrium (⁹⁰Y), lutetium (¹⁷⁷Lu), actinium (²²⁵Ac), praseodymium, astatine (At), rhenium (Re), bismuth (Bi or Bi), and rhodium (Rh). Antiangiogenic agents include linomide, bevacuzimab, angiostatin, and razoxane.

In a preferred embodiment, the synthetic toxin molecule is selected from PNU-159682 as described in Quintieri et al. (2005) and derivatives thereof (see formula (i) below), maytansine, monomethyl auristatin MMAE, and monomethyl auristatin MMAF. In a preferred embodiment, the toxin, joined to the linker at its wavy line, is of formula (i), as described in WO 2016102679 (which is incorporated by reference herein):

In the embodiment where the synthetic molecule is of formula (I), it is preferred that the linker comprise an alkyldiamino group of the form NH₂—(CH₂)_(m)—NH₂, where m≥1 and ≤11, preferably m=2, such that one amino group is directly linked at the wavy line of formula (i) to form an amide bond. It is moreover preferred that the second amino group is linked to an oligopeptide linker, which is more preferably an oligoglycine, Gly_((n)), with being ≥1 and ≤21. The most preferred payload is shown in FIG. 13(B).

In some embodiments, the synthetic molecule can be conjugated to any antibody, antibody-based binding protein, or antibody-fragment. In some embodiments, the synthetic molecule can be a label. Labels can be useful in diagnostic applications and can include, for example, contrast agents. A contrast agent can be a radioisotope label such as iodine (¹³¹I or ¹²⁵I), indium (¹¹¹In), technetium (⁹⁹Tc), phosphorus (³²P), carbon (¹⁴C), tritium (³H), other radioisotope (e.g., a radioactive ion), or a therapeutic radioisotope such as one of the therapeutic radioisotopes listed above. Additionally, contrast agents can include radiopaque materials, magnetic resonance imaging (MRI) agents, ultrasound imaging agents, and any other contrast agents suitable for detection by a device that images an animal body. A synthetic molecule can also be a fluorescent label, a biologically active enzyme label, luminescent label, or a chromophore label.

In some other embodiments, the synthetic molecule can be a liposome, as described in Bendas, BioDrugs, 15: 215-224, 2001. In such embodiments, the antibody can be conjugated to a colloidal particle, e.g., a liposome, and used for controlled delivery of an agent to diseased cells. In preparing an antibody conjugated to a liposome, e.g., an immunoliposome, an agent such as a chemotherapeutic or other drug can be entrapped in the liposome for delivery to a target cell. In some embodiments, the antibodies, antibody-based binding proteins or antibody fragments thereof of the invention can also have specificity for one or more antigens in addition to ROR2. For example, the antibody of the invention can be engineered (e.g., as a bivalent diabody or a conjugated Fab dimer or trimer) to have specificity for ROR2 and another tumor antigen, e.g., an antigen associated with neuroblastoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, colon cancer (e.g., colon adenocarcinoma), or breast cancer (e.g., breast adenocarcinoma). The antibody can be engineered to have specificity for ROR2 and an antigen that promotes activation or targeting of cytotoxic effector cells.

To further investigate the therapeutic utility of ROR2-targeting mAbs, chimeric antigen receptors (CARs) and CAR-T cells based on the mAbs were generated. Typically, the chimeric antigen receptor of the invention contains a hROR2 antibody or antibody fragment described herein that is fused to a transmembrane region and an intracellular T-cell receptor (TCR) signaling domain. CAR-T cells based on XBR2-401 were engineered using previously described methods (Hudecek, M., Lupo-Stanghellini, M. T., Kosasih, P. L., Sommermeyer, D., Jensen, M. C., Rader, C., and Riddell, S. R. (2013) Receptor affinity and extracellular domain modifications affect tumor recognition by ROR1-specific chimeric antigen receptor T cells. Clin. Cancer Res. 19, 3153-3164). In brief, ex vivo expanded healthy donor CD8+ CD62L+ T cells were lentivirally transduced with an EF1α promoter-driven expression cassette containing XBR2-401 in scFv format, followed by a short or long spacer, the transmembrane domain of human CD28, the signaling domain of 4-1BB, the signaling domain of CD3ζ and a T2A-separated transmembrane EGFR fragment with truncated ligand binding and tyrosine kinase domains. FACS isolation of EGFR+ transduced T cells, revealed robust anti-ROR2 recognition in >90% of CAR-T cells. The activity of the ROR2-targeting XBR2-401 CAR-T with short and long spacer against breast cancer cell lines T47D (ROR2+ ROR1−) and MDA-MB-231 (ROR2′− ROR1+). Since XBR2-401 binds to a membrane-proximal epitope in the Kr domain of ROR2, it is likely that XBR2-401 CAR-T cells are more active with a long rather than a short spacer. This was confirmed with respect to proliferation, IFN-γ and IL-2 secretion, and cytotoxicity in the presence of ROR2+ ROR1− target cells (FIG. 16).

IV. Polynucleotides, Vectors and Host Cells for Producing ROR2 Antibodies

The invention provides substantially purified polynucleotides (DNA or RNA) that are identical or complementary to sequences encoding polypeptides comprising segments or domains of the antibody, antibody-based binding protein or antibody fragment thereof chains described herein. In some embodiments, the polynucleotides of the invention encode the heavy chain or light chain domains sequences shown in FIG. 1. As exemplifications, a pair of polynucleotides encoding the heavy chain variable domain and light chain variable domain sequences of antibodies XBR2-401, XBR2-416 and XBR2-433 are shown in SEQ ID NOs:129 and 132, SEQ ID NOs:130 and 133, and SEQ ID NOs:131 and 134, respectively. Some of the polynucleotides of the invention comprise the nucleotide sequence as shown in SEQ ID NO:129, 130, or 131 and/or the light chain variable region sequence as shown in SEQ ID NO:132, 133, or 134, Some other polynucleotides of the invention comprise nucleotide sequences that are substantially identical (e.g., at least 65, 80%, 95%, or 99%) to a sequence selected from SEQ ID NOs:129-134. When expressed from appropriate expression vectors, polypeptides encoded by these polynucleotides are capable of exhibiting ROR2 antigen binding capacity.

Also provided in the invention are polynucleotides which encode at least one CDR region and usually all three CDR regions from the heavy or light chain of the antibodies described herein. Some other polynucleotides encode all or substantially all of the variable region sequence of the heavy chain and/or the light chain of the exemplified antibodies. For example, some of these polynucleotides encode the amino acid sequence of the heavy chain variable region shown in any one SEQ ID NOs:112, and/or the amino acid sequence of the light chain variable region shown in any one SEQ ID NOs:13-24. Because of the degeneracy of the code, a variety of nucleic acid sequences will encode each of the immunoglobulin amino acid sequences.

The polynucleotides of the invention can encode only the variable region sequences of the exemplified antibodies. They can also encode both a variable region and a constant region of the antibody. Some of polynucleotide sequences of the invention nucleic acids encode a mature heavy chain variable region sequence that is substantially identical (e.g., at least 80%, 90%, 95% or 99%) to the mature heavy chain variable region sequence shown in any one SEQ ID NOs:1-12. Some other polynucleotide sequences encode a mature light chain variable region sequence that is substantially identical to the mature light chain variable region sequence shown in any one SEQ ID NOs:13-24. Some of the polynucleotide sequences encode a polypeptide that comprises variable regions of both the heavy chain and the light chain of one of the exemplified antibodies. Some other polynucleotides encode two polypeptide segments that respectively are substantially identical to the variable regions of the heavy chain or the light chain of one of the exemplified antibodies.

The polynucleotide sequences can be produced by de novo solid-phase DNA synthesis or by PCR mutagenesis of an existing sequence (e.g., sequences as described in the Examples below) encoding an exemplified functional antibody. Direct chemical synthesis of nucleic acids can be accomplished by methods known in the art, such as the phosphotriester method of Narang et al., Meth. Enzymol. 68:90, 1979; the phosphodiester method of Brown et al., Meth. Enzymol. 68:109, 1979; the diethylphosphoramidite method of Beaucage et al., Tetra. Lett., 22:1859, 1981; and the solid support method of U.S. Pat. No. 4,458,066, Introducing mutations to a polynucleotide sequence by PCR can be performed as described in, e.g., PCR Technology: Principles and Applications for DNA Amplification, H. A. Erlich (Ed.), Freeman Press, NY, N.Y., 1992: PCR Protocols: A Guide to Methods and Applications, Innis et al. (Ed.), Academic Press, San Diego, Calif., 1990; Mattila et al., Nucleic Acids Res. 19:967, 1991; and Eckert et al., PCR Methods and Applications 1:17, 1991.

Also provided in the invention are expression vectors and host cells for producing the functional antibodies described herein. Specific examples of plasmid and transposon based vectors for expressing the antibodies are described in the Examples below. Various other expression vectors can also be employed to express the polynucleotides encoding the functional antibody chains or binding fragments. Both viral-based and nonviral expression vectors can be used to produce the antibodies in a mammalian host cell. Nonviral vectors and systems include plasmids, episomal vectors, typically with an expression cassette for expressing a protein or RNA, and human artificial chromosomes (see, e.g., Harrington et al., Nat. Genet. 15:345, 1997). For example, nonviral vectors useful for expression of the antibody polynucleotides and polypeptides in mammalian (e.g., human) cells include pCEP4, pREP4, pThioHis A, B & C, pcDNA3.1/His, pEBVHis A, B & C (Invitrogen, San Diego, Calif.), MPSV vectors, and numerous other vectors known in the art for expressing other proteins. Other useful nonviral vectors comprise expression cassettes that can be mobilized with Sleeping Beauty, PiggyBack and other transposon systems. Useful viral vectors include vectors based on lentiviruses or other retroviruses, adenoviruses, adeno-associated viruses, herpes viruses, vectors based on SV40, papilloma virus, HBP Epstein Barr virus, vaccinia virus vectors and Semliki Forest virus (SFV). See, Brent et al., supra; Smith, Annu. Rev. Microbiol. 49:807, 1995; and Rosenfeld et al., Cell 68:143, 1992.

The choice of expression vector depends on the intended host cells in which the vector is to be expressed. Typically, the expression vectors contain a promoter and other regulatory sequences (e.g., enhancers) that are operably linked to the polynucleotides encoding a functional antibody chain or fragment. In some embodiments, an inducible promoter is employed to prevent expression of inserted sequences except under inducing conditions. Inducible promoters include, e.g., arabinose, lacZ, metallothionein promoter or a heat shock promoter. Cultures of transformed organisms can be expanded under noninducing conditions without biasing the population for coding sequences whose expression products are better tolerated by the host cells. In addition to promoters, other regulatory elements may also be required or desired for efficient expression of a functional antibody chain or fragment. These elements typically include an ATG initiation codon and adjacent ribosome binding site (Kozak consensus sequence) or other sequences. In addition, the efficiency of expression may be enhanced by the inclusion of enhancers appropriate to the cell system in use (see, e.g., Scharf et al., Results Probl. Cell Differ. 20:125, 1994; and Bittner et al., Meth. Enzymol., 153:516, 1987). For example, the SV40 enhancer or CMV enhancer may be used to increase expression in mammalian host cells.

The expression vectors may also provide a secretion signal sequence position to form a fusion protein with polypeptides encoded by inserted functional antibody sequences. More often, the inserted functional antibody sequences are linked to a signal sequences before inclusion in the vector. Vectors to be used to receive sequences encoding the functional antibody light and heavy chain variable domains sometimes also encode constant regions or parts thereof. Such vectors allow expression of the variable regions as fusion proteins with the constant regions thereby leading to production of intact antibodies or fragments thereof. Typically, such constant regions are human, and preferably of human IgG1 antibodies.

The host cells for harboring and expressing the functional antibody chains can be either prokaryotic or eukaryotic. In some preferred embodiments, mammalian host cells are used to express and to produce the antibody polypeptides of the present invention. For example, they can be either a hybridoma cell line expressing endogenous immunoglobulin genes or a mammalian cell line harboring an exogenous expression vector. These include any normal mortal or normal or abnormal immortal animal or human cell. In addition to the cell lines exemplified herein, a number of other suitable host cell lines capable of secreting intact immunoglobulins are also known in the art. These include, e.g., the CHO cell lines, various HEK 293 cell lines, various Cos cell lines, HeLa cells, myeloma cell lines, transformed B-cells and hybridomas. The use of mammalian tissue cell culture to express polypeptides is discussed generally in, e.g., Winnacker, From Genes to Clones, VCH Publishers, N.Y., N.Y., 1987. Expression vectors for mammalian host cells can include expression control sequences, such as an origin of replication, a promoter, and an enhancer, and necessary processing information sites, such as ribosome binding sites, RNA splice sites, polyadenylation sites, and transcriptional terminator sequences. These expression vectors usually contain promoters derived from mammalian genes or from mammalian viruses. Suitable promoters may be constitutive, cell type-specific, stage-specific, and/or modulatable or regulatable. Useful promoters include, but are not limited to, EF1α and human UbC promoters exemplified herein, the metallothionein promoter, the constitutive adenovirus major late promoter, the dexamethasone-inducible MMTV promoter, the SV40 promoter, the MRP pol III promoter, the constitutive MPSV promoter, the tetracycline-inducible CMV promoter (such as the human immediate-early CMV promoter), the constitutive CMV promoter, and promoter-enhancer combinations known in the art.

Methods for introducing expression vectors containing the polynucleotide sequences of interest vary depending on the type of cellular host. For example, calcium chloride transformation is commonly utilized for prokaryotic cells, whereas calcium phosphate treatment or electroporation may be used for other cellular hosts (see generally Brent et al., supra). Other methods include, e.g., electroporation, calcium phosphate treatment, liposome-mediated transformation, injection and microinjection, ballistic methods, virosomes, immunoliposomes, polycation:nucleic acid conjugates, naked DNA, artificial virions, fusion to the herpes virus structural protein VP22 (Elliot and O'Hare, Cell 88:223, 1997), agent-enhanced uptake of DNA, and ex vivo transduction. Far long-term, high-yield production of recombinant proteins, stable expression will often be desired. For example, cell lines which stably express the antibody chains or binding fragments can be prepared using expression vectors of the invention which contain viral origins of replication or endogenous expression elements and a selectable marker gene. Following introduction of the vector, cells may be allowed to grow for 1-2 days in an enriched media before they are switched to selective media. The purpose of the selectable marker is to confer resistance to selection, and its presence allows growth of cells which successfully express the introduced sequences in selective media. Resistant, stably transfected cells can be proliferated using tissue culture techniques appropriate for the cell type.

The invention further provides eukaryotic or non-eukaryotic cells (e.g., T lymphocytes) that have been recombinantly engineered to produce the antibodies, antibody-based binding proteins or antibody fragments thereof of the invention. The eukaryotic or non-eukaryotic cells can be used as an expression system to produce the antibody of the invention. In some embodiments, the invention provides ROR2 targeted immune cells that are engineered to recombinantly express an ROR2 specific antibody of the invention. For example, the invention provides a cell engineered to express an antibody of the invention (e.g., an scFv, scFv-Fc, or (scFv)2), which is linked to a synthetic molecule containing one or more of the following domains: a spacer or hinge region (e.g., a CD28 sequence or a IgG4 hinge-Fc sequence), a transmembrane region (e.g., a transmembrane canonical domain), and an intracellular T-cell receptor (TCR) signaling domain, thereby forming a chimeric antigen receptor (CAR) or T-body. Intracellular TCR signaling domains that can be included in a CAR (or T-body) include, but are not limited to, CD3ζ, FcR-γ and Syk-PT signaling domains as well as the CD28, 4-1BB, and CD134 co-signaling domains. Methods for constructing T-cells expressing a CAR (or T-body) are known in the art. See, e.g., Marcu-Malina et al., Expert Opinion on Biological Therapy, Vol. 9, No. 5 (posted online on Apr. 16, 2009).

V. Therapeutic and Diagnostic Applications

In one aspect, the invention provides methods for inhibiting cells that express ROR2 (ROR2 cells) by contacting the cells with an antibody, antibody-based binding protein or antibody fragment thereof of the invention, or an antibody drug conjugate (ADC) or an engineered cell harboring a chimeric antigen receptor (CAR) described herein. The antibody, antibody-based binding protein or antibody fragment thereof can be a naked (unconjugated) molecule or an antibody molecule conjugated to a synthetic molecule, e.g., a cytotoxic, cytostatic, or antiangiogenic agent, a radioisotope, or even to a liposome. The method can be used to inhibit ROR2 cells in vitro or in a subject (i.e., in vivo). The contacted ROR2 cells can be in, for example, a cell culture or animal model of a disorder associated with elevated levels of ROR2. The methods are useful, for example, to measure and/or rank (relative to another antibody) the antibody's inhibitory activity for a specific ROR2 cell type. Inhibiting ROR2 cells can include blocking or reducing the activity or growth of ROR2 cells. Inhibiting can also include the killing of ROR2 cells. While the methods are not bound by or limited to any particular mechanism of action, inhibitory activity can be mediated by blocking ROR2-mediated signaling or by blocking the signaling of an ROR2 associated receptor. Inhibitory activity can also be mediated by recruitment of immune system effectors that attack ROR2 cells, e.g., by activating constituents of the antibody-dependent cell-mediated cytotoxicity (ADCC) or complement systems.

In some related embodiments, the invention provides methods for treating a subject that has, is suspected to have, or is at risk of developing a disorder associated with elevated levels of ROR2, Generally, the methods include administering a pharmaceutical composition that contains a therapeutically effective amount of an isolated antibody, antibody-based binding protein, antibody fragment thereof, ADC or CAR of the invention to the subject. The antibody can be any anti-ROR2 antibody of the invention as described herein. Thus, the antibody can be chimeric, humanized, synthetic, F(ab)2, Fv, scFv, IgGACH2, F(ab′)2, scFv2CH3, Fab, VL, VH, scFv4, scFv3, scFv2, dsFv, Fv, or (scFv)2. In some embodiments, the method includes administering an IgG, an scFv, a dsFv, a F(ab′)2, diabody, or a bivalent antibody. The administered antibody or antigen-binding fragment can be conjugated to a synthetic molecule described above, e.g., a cytotoxic, cytostatic, or antiangiogenic agent, a therapeutic radioisotope, or a liposome. An exemplary cytotoxic agent is Pseudomonas exotoxin A (PE38). Disorders that can be treated include neuroblastoma, osteosarcoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, melanoma, squamous cell carcinoma, multiple myeloma and other disorders with elevated ROR2 expression.

In some embodiments, the invention provides methods for treating a subject that has, is suspected to have, or is at risk of developing a disorder associated with expression of ROR2 by adoptive transfer of the genetically engineered T-cells described herein, which express an antibody or antigen-binding fragment of the invention as a chimeric antigen receptor (CAR) that selectively binds ROR2. Recombinant technology can be used to introduce CAR-encoding genetic material into any suitable T-cells, e.g., central memory T-cells from the subject to be treated. The T-cells carrying the genetic material can be expanded (e.g., in the presence of cytokines). The genetically engineered T-cells are transferred, typically by infusion, to the patient. The transferred T-cells of the invention can then mount an immune response against ROR2 expressing cells in the subject. The adoptive transfer method can be used, for example, to treat subjects that have or are suspected to have any of the cancers associated with ROR2, including neuroblastoma, osteosarcoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, melanoma, squamous cell carcinoma, multiple myeloma and other cancers.

In some embodiments, the foregoing methods of treatment can further include coadministering a second therapeutic agent for treating the disorder associated with elevated ROR2. For example, when the disorder to be treated involves an ROR2-expressing cancer, the method can further include co-administration of a cytotoxic, cystostatic, or antiangiogenic or immune-stimulatory agent (e.g. immune-checkpoint inhibitor antibodies, for instance, but not limited to, those binding to PD1, PDL1, CTLA4, OX40, TIM3, GITR, LAGS and the like) suitable for treating the cancer. If the cancer is a B-cell malignancy, the method can further include, for example, co-administration of rituximab, alemtuzumab, ofatumumab, ocrelizumab, or a CHOP chemotherapeutic regimen.

In some other embodiments, the invention provides method for detecting in a biological sample an altered level of ROR2 (e.g., cell surface ROR2), for example, relative to a control, either by FACS, immunohistochemistry (IHC) or Western Blotting. Generally, the method includes contacting a biological sample with an antibody, antibody-based binding protein, antibody fragment thereof of the invention and determining the amount of antibody that selectively binds to material (e.g., cells) in the sample to thereby determine the level of ROR2 in the biological sample. A biological sample can be from a cell culture or from a test subject, e.g., a plasma or a tissue sample from a subject that has, is suspected to have, or is at risk of developing a disease or condition associated with elevated ROR2 in a subject. A control level desirably corresponds to the ROR2 level detected using the same antibody in a corresponding sample(s) from one or more control cultures or disease-free subjects. Methods of using the antibody of the invention to determine ROR2 levels can include any immunoassay such as immuno-(Western) blotting, enzyme-linked immunosorbent assay (ELISA), Immunohistochemistry (IHC) and flow cytometry, e.g., fluorescence-activated cell sorting (FACS) analysis.

The methods of detection can be used to screen for the presence of a disorder associated with elevated ROR2. The methods include obtaining a sample from a test subject in need of screening, e.g., a subject that has, is suspected to have, or is at risk of developing a disorder associated with elevated ROR2. The level of ROR2 (e.g., the amount or concentration) in the sample is measured using an antibody, antibody-based binding protein, antibody fragment thereof of the invention, and the level in the sample is compared to a control level of ROR2, The control level represents, for example, the mean level (e.g., the amount or concentration) in sample(s) from one or, preferably, multiple control group subjects that do not have a disorder associated with elevated ROR2, Alternatively, the control level can correspond to the level or mean level of ROR2 in one or more samples taken from the test subject at one or more prior times, such as when the test subject did not have or did not exhibit, a condition associated with elevated ROR2. A significantly higher level of ROR2 in the biological sample relative to the control level is indicative of a disorder associated with elevated ROR2 in the subject. In subjects such as humans, where cell surface ROR2 expression is largely restricted to embryonic development, a control level of ROR2 can be zero or none. Thus, in some embodiments of the method of the detection provided by the invention, any significant and detectable amount of ROR2 in a biological sample can be indicative of a disorder associated with elevated ROR2 in the subject.

Additionally, the methods of detection can be used to monitor the progress of a disorder associated with elevated ROR2. The method includes obtaining a sample from a subject in need of screening, e.g., a subject having been diagnosed or suspected to have a disorder associated with elevated ROR2. The level of ROR2 in the sample is measured using an antibody, antibody-based binding protein, antibody fragment thereof of the invention, and the level in the sample is compared to a control level corresponding to the level or mean level of ROR2 in one or more samples taken from the test subject at one or more prior times. Levels of ROR2 that are significantly elevated or decreased relative to control indicate that the subject's disorder is deteriorating or improving, respectively. The foregoing methods of detection can be used to screen for the presence or to monitor the progress of disorders including, for example, neuroblastoma, osteosarcoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, melanoma, squamous cell carcinoma, multiple myeloma and other cancers.

In some embodiments, the invention provides methods for screening a subject for an altered level of ROR2. Generally, the methods entail administering to the subject an antibody, antibody-based binding protein, antibody fragment thereof of the invention that is conjugated to a label (e.g., a contrast agent), imaging the subject in a manner suitable for detecting the label, and determining whether a region in the subject has an altered density or concentration of label as compared to the background level of label in proximal tissue. Alternatively, the methods include determining whether there is an altered density or concentration of label in a region as compared to the density or concentration of label previously detected in the same region of the subject. Methods of imaging a subject can include x-ray imaging, x-ray computed tomography (CT) imaging (e.g., CT angiography (CTA) imaging), magnetic resonance (MR) imaging, magnetic resonance angiography (MRA), nuclear medicine, ultrasound (US) imaging, optical imaging, elastography, infrared imaging, microwave imaging, and the like, as appropriate for detecting the label conjugated to the antibody. In a preferred embodiment, the subject has, is suspected to have, or is at risk of developing an ROR2-expressing tumor, such as neuroblastoma, osteosarcoma, renal cell carcinoma, breast cancer, gastric cancer, prostate cancer, melanoma, squamous cell carcinoma, multiple myeloma and other cancers, and the method is used to screen for or detect the presence of the tumor. In another embodiment, the method can be used to monitor the size or density of a ROR2-expressing tumor over time, e.g., during a course of treatment.

VI. Pharmaceutical Compositions and Combinations

In another aspect, the invention provides pharmaceutical compositions that contain an antibody, an antibody fragment, an antibody-based binding protein, or an ADC as described herein and a pharmaceutically acceptable carrier. Pharmaceutical compositions can be prepared from any of the antibodies or related compounds described herein. Exemplary compositions include one or more of a chimeric antibody having SEQ ID NO:13 (light chain) and/or SEQ ID NO:1 (heavy chain), a chimeric antibody having SEQ ID NO:14 (light chain) and/or SEQ ID NO:2 (heavy chain), and a chimeric antibody having SEQ NO:15 (light chain) and/or SEQ ID NO:3 (heavy chain). Other antibodies, antibody fragments, antibody-based binding proteins, or ADCs suitable for the pharmaceutical compositions of the invention include those having a light chain sequence as shown in SEQ ID NOs:16-24 and/or a heavy chain sequence as shown in SEQ ID NOs:4-12. Other exemplary compositions of the invention can contain a humanized antibody having one, two, three, four, five, or six CDRs selected from the group consisting of SEQ ID NOs:25-96, In some embodiments, however, the antibody includes three CDR sequences of the same exemplified light or heavy chains shown in FIG. 1. These include the heavy chain CDR1, CDR2 and CDR3 sequences and light chain CDR1, CDR2 and CDR3 sequences respectively shown in (i) SEQ ID NOs:25-27 and SEQ ID NOs:61-63 (antibody XBR2-401), (II) SEQ ID NOs:28-30 and SEQ ID NOs:64-66 (antibody XBR2-416), (iii) SEQ ID NOs:31-33 and SEQ ID NOs:67-69 (antibody XBR2-433), (iv) SEQ ID NOs:34-36 and SEQ ID NOs:70-72 (antibody XBR2-327), (v) SEQ ID NOs:37-39 and SEQ ID NOs:73-75 (antibody XBR2-TOR9), (vi) SEQ ID NOs:40-42 and SEQ ID NOs:76-78 (antibody XBR2-TOP72), (vii) SEQ ID NOs:43-45 and SEQ ID NOs:79-81 (antibody ERR2-302), (vii) SEQ ID NOs:46-48 and SEQ ID NOs:82-84 (antibody ERR2-308), (ix) SEQ ID NOs:49-51 and SEQ ID NOs:85-87 (antibody ERR2-316), (x) SEQ ID NOs:52-54 and SEQ ID NOs:88-90 (antibody ERR2-317). (xi) SEQ ID NOs:55-57 and SEQ ID NOs:91-93 (antibody ERR2-TOP2), and (xii) SEQ ID NOs:58-60 and SEQ ID NOs:94-9$ (antibody ERR2-TOP35). In some embodiments, the pharmaceutical composition includes an antibody having six CDR sequences of the same antibody exemplified in FIG. 1, e.g., (a) SEQ ID NOs:25-27 and SEQ ID NOs:61-63 (antibody XBR2-401); (b) SEQ ID NOs:28-30 and SEQ ID NOs:64-66 (antibody XBR2-416); or (c) SEQ ID NOs:31-33 and SEQ ID NOs:67-69 (antibody XBR2-433). Still another exemplary pharmaceutical composition includes a dsFv fragment, which can include one or more modifications to the amino acid sequence as appropriate and understood by one of ordinary skill in the art.

In some embodiments, the compositions of the invention contain a carrier for the antibody, the antibody fragment, the antibody-based binding protein or the ADC, desirably a pharmaceutically acceptable carrier. The pharmaceutically acceptable carrier can be any suitable pharmaceutically acceptable carrier. It can be one or more compatible solid or liquid fillers, diluents, other excipients, or encapsulating substances which are suitable for administration into a human or veterinary patient (e.g., a physiologically acceptable carrier or a pharmacologically acceptable carrier). The term “carrier” denotes an organic or inorganic ingredient, natural or synthetic, with which the active ingredient is combined to facilitate the use of the active ingredient, e.g., the administration of the active ingredient to a subject. The pharmaceutically acceptable carrier can be co-mingled with one or more of the active components, e.g., a hybrid molecule, and with each other, when more than one pharmaceutically acceptable carrier is present in the composition, in a manner so as not to substantially impair the desired pharmaceutical efficacy. Pharmaceutically acceptable materials typically are capable of administration to a subject, e.g., a patient, without the production of significant undesirable physiological effects such as nausea, dizziness, rash, or gastric upset. It is, for example, desirable for a composition comprising a pharmaceutically acceptable carrier not to be immunogenic when administered to a human patient for therapeutic purposes.

Pharmaceutical compositions of the invention can additionally contain suitable buffering agents, including, for example, acetic acid in a salt, citric acid in a salt, boric acid in a salt, and phosphoric acid in a salt. The compositions can also optionally contain suitable preservatives, such as benzalkonium chloride, chlorobutanol, parabens, and thimerosal. Pharmaceutical compositions of the invention can be presented in unit dosage form and can be prepared by any suitable method, many of which are well known in the art of pharmacy. Such methods include the step of bringing the antibody of the invention into association with a carrier that constitutes one or more accessory ingredients. In general, the composition is prepared by uniformly and intimately bringing the active agent into association with a liquid carrier, a finely divided solid carrier, or both, and then, if necessary, shaping the product.

A composition suitable for parenteral administration conveniently comprises a sterile aqueous preparation of the inventive composition, which preferably is isotonic with the blood of the recipient. This aqueous preparation can be formulated according to known methods using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation also can be a sterile injectable solution or suspension in a non-toxic parenterally-acceptable diluent or solvent, for example, as a solution in 1,3-butane diol. Among the acceptable vehicles and solvents that can be employed are water, Ringer's solution, and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil can be employed, such as synthetic mono-or di-glycerides. In addition, fatty acids such as oleic acid can be used in the preparation of injectables. Carrier formulations suitable for oral, subcutaneous, intravenous, intramuscular, etc. administrations can be found in Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, Pa.

Preparation of pharmaceutical compositions of the invention and their various routes of administration can be carried out in accordance with methods well known in the art. See, e.g., Remington: The Science and Practice of Pharmacy, Mack Publishing Co., 20^(th) ed., 2000; and Sustained and Controlled Release Drug Delivery Systems, J. R. Robinson, ed., Marcel Dekker, Inc., New York, 1978. The delivery systems useful in the context of the invention include time-released, delayed release, and sustained release delivery systems such that the delivery of the inventive composition occurs prior to, and with sufficient time to cause, sensitization of the site to be treated. The inventive composition can be used in conjunction with other therapeutic agents or therapies. Such systems can avoid repeated administrations of the inventive composition, thereby increasing convenience to the subject and the physician, and may be particularly suitable for certain compositions of the invention.

Many types of release delivery systems are available and known to those of ordinary skill in the art. Suitable release delivery systems include polymer base systems such as poly(lactide-glycolide), copolyoxalates, polycaprolactones, polyesteramides, polyorthoesters, polyhydroxybutyric acid, and polyanhydrides. Microcapsules of the foregoing polymers containing drugs are described in, for example, U.S. Pat. No. 5,075,109, Delivery systems also include non-polymer systems that are lipids including sterols such as cholesterol, cholesterol esters, and fatty acids or neutral fats such as mono-di-and triglycerides; hydrogel release systems; sylastic systems; peptide based systems; wax coatings; compressed tablets using conventional binders and excipients; partially fused implants; and the like. Specific examples include, but are not limited to; (a) erosional systems in which the active composition is contained in a form within a matrix such as those described in U.S. Pat. Nos. 4,452,775, 4,667,014, 4,748,034, and 5,239,660 and (b) diffusional systems in which an active component permeates at a controlled rate from a polymer such as described in U.S. Pat. Nos. 3,832,253 and 3,854,480. In addition, pump-based hardware delivery systems can be used, some of which are adapted for implantation.

The invention also provides kits suitable for carrying out the methods of the invention. Typically, the kits contain two or more components required for performing the therapeutic or diagnostic methods of the invention. Kit components include, but are not limited to, one or more antibodies, antibody-based binding proteins, antibody fragments thereof, or ADCs of the invention, appropriate reagents, and/or equipment. In some embodiments, the kits can contain an antibody, antibody-based binding protein, antibody fragment thereof, or ADC of the invention and an immunoassay buffer suitable for detecting ROR2 (e.g. by ELISA, flow cytometry, magnetic sorting, or FACS). The kit may also contain one or more microtiter plates, standards, assay diluents, wash buffers, adhesive plate covers, magnetic beads, magnets, and/or instructions for carrying out a method of the invention using the kit. The kit scan include an antibody, antibody-based binding protein, antibody fragment thereof of the invention bound to a substrate (e.g., a multi-well plate or a chip), which is suitably packaged and useful to detect ROR2. In some embodiments, the kits include an antibody, antibody-based binding protein, antibody fragment thereof of the invention that is conjugated to a label, such as, a fluorescent label, a biologically active enzyme label, a luminescent label, or a chromophore label. The kits can further include reagents for visualizing the conjugated antibody, antibody-based binding protein, antibody fragment thereof, e.g., a substrate for the enzyme. In some embodiments, the kits include an antibody or antigen-binding fragment of the invention that is conjugated to a contrast agent and, optionally, one or more reagents or pieces of equipment useful for imaging the antibody, antibody-based binding protein, antibody fragment thereof in a subject.

Generally the antibody, antibody-based binding protein, antibody fragment thereof or ADC of the invention in a kit is suitably packaged, e.g., in a vial, pouch, ampoule, and/or any container appropriate for a therapeutic or detection method. Kit components can be provided as concentrates (including lyophilized compositions), which may be further diluted prior to use, or they can be provided at the concentration of use. For use of the antibody of the invention in vivo, single dosages may be provided in sterilized containers having the desired amount and concentration of components.

EXAMPLES

The following examples are provided to further illustrate the invention but not limit its scope. Other variants of the invention will be readily apparent to one of ordinary skill in the art and are encompassed by the appended claims.

Example 1 Generation of Human ROR2-Specific Monoclonal Antibodies

Cell lines: MDA-MB-231 and T47D from ATCC were cultured in DMEM (Invitrogen; Carlsbad, Calif.) supplemented with 10% (v/v) heat inactivated FBS (Thermo Scientific; Logan, Utah), 100 U/ml, penicillin, and 100 μg/mL streptomycin (invitrogen). Mouse pre-B cells 63-12 (Shinkai et al., Cell 68, 855-867, 1992), as well as the 63-12 cells ectopically expressing hROR1 or hROR2, were cultured in IMEM (Invitrogen) supplemented with 10% (v/v) heat inactivated FBS (Thermo Scientific), 0.1% (v/v) beta-ME, 100 U/mL penicillin, and 100 μg/mL, streptomycin (Invitrogen). HEK 293F cells were purchased from invitrogen and maintained in FreeStyle Medium supplemented with 1% (v/v) heat inactivated FBS (Thermo Scientific), 100 U/mL penicillin, and 100 μg/mL streptomycin (Invitrogen).

Cloning of full-length hROR2 mammalian expression vectors: Transposable vector backbones (pPB-Puro) were assembled from modular parts with flanking restriction sites that were synthesized or derived from sequence-verified commercially available vectors, and are described in detail in Patent WO2014013026A1. These original transposable vector backbones were modified by exchanging IRES-driven expression of the Puromycin resistance gene in the original vector with separate, phosphoglycerate kinase promoter (PGK) driven expression. This was done by replacing the IRES sequence with an SV40-pA sequence located 3′ of the multiple cloning site, followed by introduction of the PGK promoter sequence 5′ of the Puromycin resistance gene. Full-length ROR2 open reading frames were synthesized by total gene synthesis (Genscript, Piscataway) with flanking restriction sites (5′NotI/3′BstBI) and were then cloned into the multiple cloning site of the transposable vectors using the respective restriction enzymes.

Cell line engineering for ectopic expression of hROR2 in the EMT-6 murine breast cancer cell line: Murine EMT-6 breast cancer cells (kind gift from Prof. Dr. med. Alfred Zippelius, University Hospital of Basel, Switzerland) were cultured in DMEM complete (Dulbecco's Modified Eagle Medium (DMEM) High Glucose (4.5 g/l) with Glutamine with 10% (v/v) Fetal Calf Serum (FCS), 100 IU/mL of Pen-Strep-Fungizone and 2 mM L-glutamine (all Bioconcept, Allschwil, Switzerland)) at 37° C. and 5% CO₂. Cells were engineered to overexpress human ROR2 by transposition as follows: cells were centrifuged (6 min, 1200 rpm, 4° C.) and resuspended in RPMI-1640 media (5×10⁶ cells/mL). 400 μL of this cell suspension was then added to 400 μL of RPMI containing 13.3 μg of transposable vector pPB-PGK-Puro-ROR2, directing co-expression of full-length human ROR2 (NP_004551.2) and the puromycin-resistance gene, and 6.6 μg of transposase-containing vector pCDNA3.1_hy_mPB. DNA/EMT-6 cell mixture was transferred to electroporation cuvettes (0.4 cm-gap, 65-2088, BioRad, Cressier, Switzerland) and electroporated using the Biorad Gene Pulser II with capacitance extender at 300V and 950 μF. Then, cells were incubated for 5-10 min at room-temperature. Following the incubation, cells were centrifuged at 1200 rpm for 6 min, washed once and subsequently resuspended in DMEM complete prior to incubation at 37° C. In a humidified incubator at 5% CO₂ atmosphere. One day after electroporation, cell pools stably expressing human ROR2 were selected by adding 3 μg/mL puromycin (Sigma-Aldrich, P8833).

ROR2 expression on selected EMT-6-ROR2 cells was confirmed by flow cytometry. Briefly, following trypsinization, 10⁶ cells were centrifuged in FACS tubes; obtained pellets were resuspended in buffer (PBS with 2% (v/v) FCS). Cells were then incubated with XBR2-401 (mAb003); 30 min, 4° C., final concentration 2 μg/mL), followed by centrifugation and washing. Cells were then resuspended as previously and incubated with anti-human IgG antibody (Fe gamma-specific) PE (eBioscience, Vienna, Austria, 12-4998-82) with a 1:250 dilution in the dark (30 min, 4° C.), washed once in buffer and kept on ice until FACS sorting.

Using a FACS Aria II, cells were single cell sorted into a 96 well flat-bottom plate containing 200 of DMEM complete per well. This plate was incubated at 37° C. and clones were expanded to 6-well plates before analysis of ROR2-expression by flow cytometry as outlined above, using a FACSCalibur instrument (BD Biosciences) and FlowJo analytical software (Tree Star, Ashland, Oreg.) for analysis.

FIG. 15C, shows the FACS analysis data of clone 14 (high ROR2-expressing) and WT (ROR2 negative) EMT-6, detected with anti-ROR2 antibody XBR2-401 (mAb003).

Example 2 Generation of High-Complexity Rabbit Fab Library and Reagents for Screening

Construction, expression, purification, and biotinylation of recombinant human ROR2 protein hFc-hROR2-T²⁴⁵: A human ROR1 cDNA from Thermo Scientific (Clone ID: 40/46553) was used as template. ROR2 has a single nucleotide polymorphism (SNP) at amino acid position 245. As part of the cloning, we mutated the less common alanine at position 245 of clone 40/46553 to the more frequent threonine. Briefly, two cDNA fragments encoding N-terminal and C-terminal portions of the extracellular domain (ECD) of ROR2 were PCR-amplified with (i) primers hROR2ECD_F (gcctaagcttgtctccgggtgccgaagtggaggttctggatccgaacg) (SEQ ID NO:97) and hROR2_A245T_R (getcacgoggettgggtgtecgggagegogcgtege) (SEQ ID NO:98) and (ii) primers hROR2_A245T_F (gcgacgcgcgetoceggacacccaagccgcgtgagc) (SEQ ID NO:99) and hROR2ECD_R (agetctcgagtcaccccatcttgctutgticteggggactacacgagg) (SEQ ID NO:100). Subsequently, the whole ROR2 ECD (amino acids 55-394) was assembled by overlap extension PCR using the flanking primers hROR2ECD_F and hROR2ECD_R and cloned into pCEP4-hFc (Hofer et al., 2008) via HindIII/XhoI. The resulting pCEP4-hFc-hROR2 construct was then transiently transfected into HEK 293F cells (Invitrogen) using 293fectin (Invitrogen) and conditions detailed in the manufacturer's protocol. Transfected cells were cultured in FreeStyle protein-free medium (Invitrogen) and the hFc-hROR2 fusion protein was purified from supernatants by Protein A affinity chromatography. Purified hFc-hROR2 was biotinylated using the Biotin-Tag Micro Biotinylation kit (Sigma-Aldrich). Briefly, 300 lag hFc-hROR2 in 50 μL of 0.1 M sodium phosphate buffer (pH 7.2) was incubated with 1 μL of 5 mg/mL biotinamidohexanoic acid 3-sulfo-N-hydroxysuccinide ester for 30 min at room temperature with gentle stirring. Biotinylated hFc-hROR2 was isolated using MicroSpin G-50 Columns provided by the kit.

Construction, expression, and purification of recombinant human ROR1 (hROR1-His) and human ROR2 (hROR2-His) proteins: hROR1-His was PCR-amplified with primers SP-hROR1_F (5′ gctgggtaccggcgcgccaccatggactggacttggagaatcctgtttctcgtagctgctgcaactggagcacactccgcccggggcgccgccgcccag 3′) (SEQ ID NO:101) and hROR1-His_R. (5′ cggcctegagtcagtgatggtgatggtggtgctccatcttgttcttctcctt 3′) (SEQ ID NO:102) using pCEP4-hFc-hROR1 (Yang et al., 2011) as template, while hROR2-His was PCR-amplified with primers SP-hROR2_F (gctgggtaccggcgcgccaccatggactggacttggagaatcctgtttctcgtagctgctgcaactggagcacactccgaagtggaggttctggatccg) (SEQ ID NO:103) and hROR2-His_R (cggcctcgagtcagtgatggtgatggtggtgccccatcttgctgctgtctcg) (SEQ ID NO:104) using pCEP4-hFc-hROR2 as template. Following cloning into pCEP4 (Invitrogen) separately via KpnI/XhoI, the constructs were transiently transfected into HEK 293F cells (Invitrogen) using 293fectin (invitrogen), and the corresponding recombinant protein products were purified by Immobilized Metal Ion Affinity Chromatography using a 1-mL HisTrap column (GE Healthcare) as described (Kwong and Rader, 2009). The quality and quantity of purified hROR1-His and hROR2-His were analyzed by SDS-PAGE and A₂₈₀ absorbance, respectively.

Generation and selection of naïve chimeric rabbit/human Fab libraries: All rabbit handling was carried out by veterinary personnel at Pocono Rabbit Farm & Laboratory (Canadensis, Pa.) or R & R Research (Stanwood, Wash.). A total of nine rabbits (ages 3-4 months) were used. Five of these rabbits were of the New Zealand White (NZW) strain, with three obtained from Pocono Rabbit Farm & Laboratory (Canadensis, Pa.) and two obtained from R & R Research (Stanwood, Wash.). Four b9 wild-type rabbits were derived from a separate R & R Research colony that originated from a pedigreed colony developed and characterized at the National Institute of Allergy and Infectious Diseases (NIAID) (McCartney-Francis et al., 1984; Popkov et al., 2003). Spleen and bone marrow from each rabbit were collected and processed for total RNA preparation and RT-PCR amplification of rabbit V_(K), V_(λ), and V_(H) and encoding sequences using established protocols (Rader, 2009). Rabbit (rb) V_(K)/human (hu) C_(K)/rbV_(H) and rbV_(λ)/huC_(λ)/rbV_(H) segments, respectively, were assembled in one fusion step based on 3-fragment overlap extension PCR. Note that the V_(L) derived from b9 rabbits were also assembled with V_(H) from NZW rabbits. The Fab-encoding fragments were digested with SfiI and ligated with SfiI-treated phage display vector pC3C (Hofer et al., 2007) at 16° C. for 24 h. Subsequently, 15 μg purified pC3C-rbV_(X)/hC_(K)/rbV_(H) ligated products were transformed into E. coli strain SR320 (a kind gift from Dr. Sachdev S. Sidhu, University of Toronto, Toronto, Ontario, Canada) by 30 separate electroporations (each using 0.5 μg DNA in 50 μl electrocempetent cells) and yielded 7.5×10⁹ independent transformants for library κ. For library λ, 4.8×10⁹ independent transformants were obtained using the same procedure. Using VCSM13 helper phage (Stratagem; La Jolla, Calif.), the phagemid libraries were converted to phage libraries and stored at −80° C. Phage library κ and library λ were re-amplified using XL1-Blue (Stratagene) or ER2738 (Lucigen) and mixed equally before four rounds of panning against biotinylated hFc-hROR2. During the panning, 5 μg/mL antigen was pre-incubated with streptavidin coated magnetic beads (Dynabeads MyOne Streptavidin C1; Invitrogen) at 37° C. for 30 min and then binders from the phage library were captured in the presence of 1 mg/mL unspecific polyclonal human IgG (Thermo Scientific). Starting from the third round of panning, the input phage was negatively depleted by incubation with empty beads before selection against antigen-loaded beads. Following selection, supernatants of IPTG-induced bacterial clones were analyzed by ELISA and by flow cytometry. Repeated clones were identified by DNA fingerprinting with AluI, and the V_(L) and V_(H) sequences of unique clones were determined by DNA sequencing (FIG. 1).

Example 3 Expression and Purification of Chimeric Rabbit/Human Fab and Full-Length IgG1 Antibodies

Construction, expression, and purification of chimeric rabbit/human Fab and IgG1: MAbs XBR2-401, XBR2-416, and XBR2-433 in chimeric rabbit/human Fab format were cloned into E. coli expression plasmid pC3C-His and expressed and purified as described (Kwong and Rader, 2009). For the expression of mAbs XBR2-401, XBR2-416, and XBR2-433 in chimeric rabbit/human IgG1 format, the previously described vector PIGG-R11 was used (Yang et al., 2011). The various primer sequences used in the expression are shown in Table 1. The V_(H) encoding sequences of Fab XBR2-401, XBR2-416, and XBR2-433 were PCR amplified using primers 4-1_VH_F and 4-1_VH_R, 4-16_VH_F and 4-16_VH_R, and 4-33_VH_F and 4-33_VH_R, respectively, and cloned via ApaI/SacI into PIGG-R11. The light chain encoding sequences of Fab 4-1, 4-16, and 4-33 were PCR amplified using primers 4-1_κ_F, 4-16_κ_F, and 4-33_λ_F, respectively, in combination with LEAD-B, and cloned via HindIII/XbaI into PIGG-R11 with the corresponding heavy chain encoding sequences. Note that an internal ApaI site in FR4 of V_(H) encoding sequences of Fab XBR2-401 was removed by silent mutation in pruner 4-1_VH_R. In addition, for, XBR2-416, and XBR2-433, we changed a TAG stop codon, which was suppressed during selection in E. coli strain XL1-Blue, to CAG (glutamine) encoding the first amino acid of native of both, XBR2-416, and XBR2-433 (FIG. 1) with primers 4-16_VH_F and 4-33_VH_F. The resulting PIGG-XBR2-401, PIGG-XBR2-416, and PIGG-XBR2-433 plasmids were transiently transfected into HO(293F cells (Invitrogen) using 293fectin (Invitrogen), and the corresponding protein products were purified with a 1-mL recombinant Protein A HiTrap column (GE Healthcare, Piscataway, N.J.) as described (Yang et al., 2011; Yang and Rader, 2012). The quality and quantity of purified IgG1 were analyzed by SDS-PAGE and A₂₅₀ absorbance, respectively,

All the other mAbs in chimeric rabbit/human Fab format were cloned into E. coli expression plasmid pET11a and expressed and purified as described (Kwong and Rader, 2009) For the expression of mAbs ERR2-302, ERR2-308, ERR2-317, XBR2-327 and XBR2-TOP72 in chimeric rabbit/human IgG1 format, pCEP4 (Invitrogen) was used to clone the heavy chain and light chain separately. For heavy chain, a gBlock containing a heavy-chain signal peptide encoding sequence, V_(H) of ERR2-302 and C_(H)1 (1-49) of human IgG1 was synthesized by IDT (San Jose, Calif.) and amplified with primers KpnI/AscI-Signal and CH1-internal/overlap-R, and fused to C_(H)1 (50-88)-C_(H)2-C_(H)3 amplified from PIGG with primers CH1-internal/overlap-F and HC-CH3-R-XhoI by overlap extension PCR with primers KpnI/AscI-Signal and HC-CH3-R-XhoI, and then cloned into pCEP4 by AscI/XhoI. Note that a NheI site was introduced into C_(H)1 at Ala¹² by synonymous mutation when the gBLOCK was synthesized. This construct served as vector to clone other mAb heavy chain by replacing the V_(H) using AscI/NheI; V_(H) of ERR2-308, ERR2-317, XBR2-327 and XBR2-TOP72 were amplified with forward primer ERR2-308 HC-F, ERR2-317 HC-F, XBR2-327 and ERR2-308 HC-F and reverse primer VH-CH1-R-EheI separately, followed by extension PCR to add the signal peptide with primer KpnI/AscI-Signal and VH-CH1-R-EheI. Then each V_(H) was inserted into the vector by AscI/NheI. For light chain cloning, while lambda light chains of ERR2-302 and XBR2-TOP72 were amplified with primers ERR2-302 LC-F and XBR2-TOP72 LC-F separately combined with primer LC-R-XhoI, kappa light chains of ERR2-308, ERR2-317 and XBR2-327 were amplified with primers ERR2-308 KC-F, ERR2-317 KC-F and ERR2-317 KC-F separately combined with primer KC-R-XhoI. Then signal peptide was added by extension PCR with forward primer KpnI/AscI-Signal and reverse primer LC-R-XhoI or KC-R-XhoI. Subsequently, each light chain PCR products was cloned into pCEP4 by AscI/XhoI. The resulting constructs containing heavy chain or light chain for each IgG were co-transfected transiently into HEK 293F cells (Invitrogen) using 293fectin (Invitrogen), and the corresponding recombinant protein products were purified with a 1-mL recombinant Protein A HiTrap column (GE Healthcare, Piscataway, N.J.) as described (Yang et al., 2011; Yang and Rader, 2012). The quality and quantity of purified IgG1 were analyzed by SDS-PAGE and A₂₈₀ absorbance, respectively.

TABLE 1 Primer sequences for cloning antibody sequences SEQ ID Primer Sequence NO: 4-1_VH_F GAGGAGGAGCTCACTCTCAGTCAGTGAAGGAGTCCGA 105 GGGAG 4-1_VH_R CGATGGGCCCTTGGTGGAGGCTGAAGAGACGGTGACG 106 AGGGTCCCTGGTCCCCAGATGTT 4-16_VH_F GAGGAGGAGCTCACTCTCAGGAGCAGCTGGAGGAGTC 107 CGGG 4-16_VH_R CGATGGGCCCTTGGTGGAGGCTGAGGAGATGGTGACC 108 AGGGTGCCTGGCCCCCACAAGTC 4-3_VH_F GAGGAGGAGCTCACTCTCAGTCAGTGAAGGAGTCCGA 109 GGGA 4-33_VH_R CGATGGGCCCTTGGTGGAGGCTGAGGAGATGGTGACC 110 AGGGTGCCTGGCCCCCAGATGTT 4-1_κ_F GAGAAGCTTGTTGCTCTGGATCTCTGGTGCCTACGGGG 111 ACCCTATGCTGACCCAGACTCC 4-16_κ_F GAGAAGCTTGTTGCTCTGGATCTCTGGTGCCTACGGGC 112 AAGTGCTGACCCAGACTCCATC 4-33_λ_F GAGAAGCTTGTTGCTCTGGATCTCTGGTGCCTACGGGT 113 CCTTCGTGCTGACTCAGCCAGC LEAD-B GGCCATGGCTGGTTGGGCAGC 114 KpnI/ GGTACCGGCGCGCCACCATGGACTGGACTTGGAGAAT 115 AscI- CCTGTTTCTCGTAGCTGCTGCAA Signal CH1- GCCGCTGGTCAGGGCTCCTG 116 internal/ overlap-R CH1- CAGGAGCCCTGACCAGCGGC 117 internal/ overlap-F HC-CH3-R- GGCCTCGAGTCATTTACCCGGAGACAGGGA 118 XhoI ERR2-308  TTTCTCGTAGCTGCTGCAACTGGAGCACACTCC 119 HC-F CAGGAGCAGCTGGAGGAGTCC ERR2-317  TTTCTCGTAGCTGCTGCAACTGGAGCACACTCC 120 HC-F CAGTCGTTGGAGGAGTCCGGG XBR2-327  TTTCTCGTAGCTGCTGCAACTGGAGCACACTCC 121 HC-F CAGGAGCAGCTGAAGGAGTCC VH-CH1-R- GGAGGGCGCCAGGGGGAAGACCGATGGGCCCTTGGT 122 EheI ERR2-302  TTTCTCGTAGCTGCTGCAACTGGAGCACACTCC 123 LC-F TCCTATGAGCTGACACAGCTG XBR2-  TTTCTCGTAGCTGCTGCAACTGGAGCACACTCC 124 TOP72 CAGTTTGTGCTGACTCAGTCG LC-F ERR2-308  TTTCTCGTAGCTGCTGCAACTGGAGCACACTCC 125 KC-F GACCCTATGCTGACCCAGACT ERR2-317  TTTCTCGTAGCTGCTGCAACTGGAGCACACTCC 126 KC-F GACCCTGTGCTGACCCAGACT LC-R- GGCCTCGAGTTATGAACATTCTGTAGGGGC 127 XhoI KC-R- GGCCTCGAGTTAACACTCTCCCCTGTTGAA 128 XhoI

Example 4 Examination of Antibody Binding Activities

ELISA: Binding properties of the ROR2 antibodies were examined via ELISA. For coating, each well of a 96-well Costar 3690 plate (Corning, Corning, N.Y.) was incubated with 100 ng antigen in 25 μL coating buffer (0.1 M NaHCO₃, 0.1 M NaHCO₃, pH 9.6) for 1 h at 37° C. After blocking with 150 μL 3% (w/v) BSA/TBS for 1 h at 37° C., 100 ng/50 μL of Fab was added, incubated for 2 h at 37T, washed with 150 μL PBS ten times and incubated with 50 μL of a 1:1000 dilution of a mouse anti-His tag mAb conjugated to horse radish peroxidase (HRP) (R&D Systems, Minneapolis, Minn.) In 1% (w/v) BSA/TBS for 1 h at 37° C. Washing with PBS was repeated and calorimetric detection was performed using 2,2′-azino-bis (3-ethylbenzthiazoline)-6-sulfonic acid (Roche) as substrate according to the manufacturer's directions. The absorbance was measured at 405 nm using a SpectraMax M5 microplate reader (Molecular Devices; Sunnyvale, Calif.) and SoftMax Pro software (Molecular Devices), as shown in FIG. 2A.

Flow cytometry: Antigen binding characteristics of the antibodies were also examined via flow cytometry analysis. Specifically, cells were stained using standard flow cytometry methodology. Briefly, for purified anti-ROR2 Fab, 0.1˜1 ×10⁶ cells were stained with 1 μg/100 μL of Fab on ice for 1 h. After washing twice with ice-cold flow cytometry buffer (PBS containing 1% (v/v) BSA, 0.1% sodium azide and 1 mM EDTA), the cells were incubated with a 1:1000 dilution of a mouse anti-His tag mAb conjugated to Alexa Fluor 488 (Qiagen) in 100 μL flow cytometry buffer on ice for 30 min. For purified anti-ROR2 IgG1, 0.1˜1×10⁶ cells were incubated with 100 ng/100 μL of IgG on ice for 1 h. After washing twice with ice-cold flow cytometry buffer, cells were stained with a 1:500 dilution of goat anti-human IgG, Fcγ pAbs conjugated to APC (Jackson ImmunoResearch) in 100 μL flow cytometry buffer on ice for 30 min. Finally, 4′,6-diamidino-2-phenylindole (DAPI) was added to a final concentration of 100 ng/mL to exclude dead cells from analysis. Cells were analyzed using a FACSCalibur instrument (BD Biosciences) and FlowJo analytical software (Tree Star, Ashland, Oreg.). Results of the study are shown in FIG. 28, FIGS. 4-8, and FIG. 11.

Additional studies were performed to examine cross-reactivity and epitope mapping of the isolated antibodies. In these studies, extracellular domains of human ROR2 with Thr at 145 (hROR2-T²⁴⁵) (55-394) and human ROR2 with less frequent SNP hROR2-A²⁴⁵ (55-394), as well as mouse ROR2 (34-403), were separately fused to a (G₄S)₃ linker followed by an HA tag (YPYDVPDYAS) and a PDGFRB segment (amino acids 513-561) that included the transmembrane domain (amino acids 533-553), and stably displayed on HEK 293F cells (FIG. 3). Then, the cross reactivity of all the mAbs in chimeric rabbit/human Fab format to hROR2-T²⁴⁵, hROR2-A²⁴⁵ and mROR2 was tested by flow using these cells (FIG. 4). Similarly, different compositions of the three extracellular domains of hROR2-T²⁴⁵, Ig (amino acids 55-145), Fr (169-303), Ki (316-394), Ig+Fr (55-303), Fr+Ki (169-394) were also stably displayed on HEK 293F cells separately (FIG. 3). Using these ROR2 domain displaying cell lines, the epitopes of mAbs XBR2-401 (FIG. 5), XBR2-433 (FIG. 6), and XBR2-416 (FIG. 7) were determined with chimeric rabbit/human IgG1 by flow cytometry. Briefly, 0.1˜1×10⁶ cells were incubated with purified (1 μg/mL) chimeric rabbit/human IgG1 on ice for 1 h. After washing twice with ice-cold flow cytometry buffer (PBS containing 1% (v/v) BSA, 0.1% sodium azide and 1 mM EDTA), the cells were incubated with a 1:500 dilution of goat anti-human IgG, Fcγ pAbs conjugated to APC (Jackson ImmunoResearch) in 100 μL flow cytometry buffer on ice for 30 min. After washing twice with ice-cold flow cytometry buffer, the cells were incubated with a 1:500 dilution of biotinylated rat anti-HA mAb 3F10 (Roche) in 100 μL flow cytometry buffer on ice for 1 h, washed as before, and stained with 2 μg/mL PE-conjugated streptavidin (BD Biosciences) on ice for 30 min. DAPI was added to a final concentration of 100 ng/mL to exclude dead cells from analysis. All the epitopes of other mAbs were determined with chimeric rabbit/human Fab by flow cytometry as the same procedure described above. Cells were analyzed using a FACSCalibur instrument (BD Biosciences) and FlowJo analytical software (Tree Star, Ashland, Oreg.).

Surface plasmon resonance: Furthermore, a surface plasmon resonance study was performed to measure the affinities of all Fabs to hFc-hROR2 and epitope mapping studies were performed on a Biacore X100 instrument using Biacore reagents and software (GE Healthcare, Piscataway, N.J.). Anti-Human IgG (Fe) antibody was immobilized on a CM5 sensor chip following the instruction of Human Antibody Capture Kit (GE Healthcare, Piscataway, N.J.). Then hFc-hROR2 fusion proteins were captured at certain density (indicated in FIG. 9 and FIG. 10B). Each sensor chip included an empty flow cell for instantaneous background depletion. All binding assays used 1× HBS-EP+ running buffer (10 mM HEPES, 150 mM NaCl, 3 mM EDTA (pH 7.4), and 0.05% (v/v) Surfactant P20) and a flow rate of 30 mL/min. For affinity measurements, all Fabs were injected at five different concentrations (dilution factor was 2), with one of which was tested in duplicates (the highest concentrations for each Fab were indicated in FIG. 10B). The sensor chips were regenerated with 3 M MgCl₂ from the Human Antibody Capture Kit without any loss of binding capacity. Calculation of association (k_(on)) and dissociation (k_(off)) rate constants was based on a 1:1 Langmuir binding model. The equilibrium dissociation constant (K_(D)) was calculated from k_(off)/k_(on). For epitope mapping studies, each Fab was prepared at 500 nM alone or in a mixture in 1× HBS-EP+ running buffer and then injected in order as indicated in FIG. 9.

Western blotting: A Western blotting assay was performed to examine the binding activity of the isolated antibodies for denatured ROR2 polypeptide. Cells or proteins were lysed Icy 1× sample buffer (containing 1% β-mercaptoethanol) and boiled before running on NUPAGE Novex 4-12% Bis-Tris gels (invitrogen). After membrane transferring and blocking by 5% milk, 2 μg/mL chimeric rabbit/human IgG1 XBR2-401 was applied to detect the denatured proteins, followed by incubation with 1/1000 anti-human Fc conjugated to HRP before developing using ECL Prime Western Blotting Detection Reagent (GE Healthcare). As shown in FIG. 12, the results indicate the antibody indeed recognizes denatured hROR2.

Example 5 Expression of Purified, Recombinant Twin Strep-Tagged Human, Murine and Cynomolgus ROR2

Twin strep-tagged human, mouse and cynomolgus ROR2-extracellular domain was produced as follows: the nucleotide sequence encoding the extracellular domain of human ROR2 (NP_004551.2), murine ROR2 (NP_038874.3) and cynomolgus ROR2 (XP_005582291.1) were each N-terminally fused to a signal sequence (MNGFLRLIFLVLTLKGVQC) and C-terminally fused with a sequence encoding a twin strep-tag (SAWSHPOFEKGGGSGGGSGGSAWSHFOFEKG). The entire nucleotide sequences with flanking 5′NotI and 3′HindIII sites were produced by total gene synthesis (GenScript, Piscataway, USA), assembled in the mammalian expression vector pCB14 and verified by DNA sequencing. This vector, a derivative of the episomal mammalian expression vector pCEP4 (Invitrogen), carries the EBV replication origin, encodes the EBV nuclear antigen (EBNA-1) to permit extrachromosomal replication, and contains a puromycin selection marker in place of the original hygromycin B resistance gene.

Recombinant human twin strep-tagged ROR2 (NP_004551.2), murine twin strep-tagged ROR2 (NP 038874.3) and cynomolgus twin strep tagged ROR2 (XP_005582291.1) were expressed and purified in-house according to the following protocol: the EBNA expression vector pCB14b-ROR2-ECD-TwinStrep (human ROR2), pCB14g-mouseROR2-ECD-TwinStrep (mouse ROR2) or pCB14b-cynomolgusROR2-ECD-TwinStrep (cynomolgus monkey ROR2), directing expression of ROR2 extracellular domain (ECD), C-terminally tagged with a TwinStrep tag, was transfected into HEK293T using Lipofectamine® LTX with PLUS™ Reagent (Thermo Fisher Scientific, 15388100). Following a 1-day incubation (37° C., 5% CO₂, growth media: Dulbecco's Modified Eagle Medium (DMEM) High Glucose (4.5 g/l) with L-Glutamine with 10% (v/v) Fetal Calf Serum (FCS), 100 of Pen-Strep-Fungizone and 2 mM L-glutamine (all Bioconcept)), cells were expanded under selection conditions (2 μg/mL of puromycin (Sigma-Aldrich, P8833-25 mg stock at 2 mg/mL)). Cells were split and further expanded (37° C., 5% CO₂); once confluency was reached, tissue culture dishes were coated with 20 μg/ml poly-L-Lysine (Sigma-Aldrich, P1524) for 2 hrs at 37° C. and washed twice with PBS. Then, cells were trypsinized, washed with PBS and split 1:3 onto poly-L-lysine-coated plates. Again after reaching confluency, cells were washed with PBS followed by with media replacement using production media (DMEM/F-12, Gibco/Thermo Fisher Scientific, 31330-03) supplemented with 1 μg/mL puromycin (Sigma-Aldrich, P8833), 100 IU/mL, of Pen-Strep-Fungizone (Bioconcept, 4-02F00-H), 161 μg/mL of N-acetyl-L-cysteine (Sigma-Aldrich, A8199) and 10 μg/mL of L-glutathione reduced (Sigma-Aldrich, G6529). Supernatant, harvested bi-weekly and filtered (0.22 μm) to remove cells, was stored at 4° C. until purification. For purification, filtered supernatant was loaded onto a Streptactin® Superflow® high capacity cartridge (IBA, Göttingen, Germany, 2-1238-001) column; purification and elution was performed according to the manufacturer's protocol on an AEKTA pure (GE Healthcare). Fractions were analyzed for protein purity and integrity by SDS-PAGE. Protein-containing fractions were mixed and subjected to buffer exchange using Amicon filtration units (Millipore, Schaffhausen, Switzerland) to reach a dilution of ≥1:100 in PBS, and then sterile filtered using a low retention filter (0.20 μm, Carl Roth, Karlsruhe, Germany, PA49.1).

Example 6 Expression Purified, Recombinant Anti-Human ROR2 and Isotype Control Antibodies

Expression vectors: Antibody variable region coding regions were produced by total gene synthesis (GenScript) using MNFGLRLIFLVLTLKGVQC as leader sequence, and were assembled with human IgH-γ 1 and IgL-κ (ERR2-308, ERR2-316, ERR2-317, XBR2-327, Huluc63) or IgL-λ (ERR2-302, ERR2-Top35) constant regions in the expression vector pCB14.

Expression vectors encoding each of the full-length heavy and light chains were assembled in a proprietary mammalian expression vector, Switzerland. Antibodies were transiently expressed in CHO cells by methods known in the art and recombinant antibodies were purified by standard protein A purification from CHO cell supenatants, as known in the art. In short, the CHO cell supernatants were harvested by centrifugation and sterile filtered (0.2 μm) before FPLC-based affinity purification using Amsphere protein A columns (JSR Life Sciences) performed as described below.

In-house expression and purification: pCB14-based expression vectors were transfected into HEK293T cells using Lipofectamine® LTX Reagent with PLUS™ Reagent (Thermo Fisher Scientific, Reinach, Switzerland, 15388100); following a 1-day incubation (37° C., 5% CO₂, growth media: Dulbecco's Modified Eagle Medium (DMEM) High Glucose (4.5 g/l) with L-Glutamine with 10% (v/v) Fetal Calf Serum (FCS), 100 IU/mL of Pen-Strep-Fungizone and 2 mM L-glutamine (all Bioconcept, Allschwil, Switzerland)), cells were expanded under selection conditions (2 μg/mL of puromycin (Sigma-Aldrich, Buchs SG, Switzerland, P8833-25 mg stock at 2 mg/mL)). Cells were split and further expanded (37° C., 5% CO₂); once confluency was reached, tissue culture dishes were coated with 20 μg/nil poly-L-Lysine (Sigma-Aldrich, P1524) for 2 h at 37° C. and washed twice with PBS. Then, cells were trypsinized and split 1:3 onto poly-L-lysine-coated plates. Again after reaching confluency, cells were washed with PBS followed by media replacement to production media (DMEM/F-12, Gibco/Thermo Fisher Scientific, 31330-03) supplemented with 1 μg/mL puromycin (Sigma, P8833), 100 IU/mL of Fen-Strep-Fungizone (Bioconcept), 161 μg/mL of N-acetyl-L-cysteine (Sigma-Aldrich, A8199) and 10 μg/mL of L-glutathione reduced (Sigma-Aldrich, 06529). Supernatant, harvested bi-weekly and filtered (0.22 μm) to remove cells, was stored at 4° C. until purification.

For purification, filtered supernatant was loaded onto a PBS-equilibrated Protein A HiTrap column (GE Healthcare, Frankfurt am Main, Germany, 17-0405-01) or a JSR Amsphere™ Protein A column (JSR Life Sciences, Leuven, Belgium, JWT203CE) and washed with PBS; elution was performed using 0.1 M glycine (pH 2.5) on an AEKTA pure (GE Healthcare). Fractions were immediately neutralized with 1 M Tris-HCl buffer (pH 8.0), and analyzed for protein purity and integrity by SDS-PAGE. Protein-containing fractions were mixed and subjected to buffer exchange using Amicon filtration units (Millipore, Schaffhausen, Switzerland, UFC901008) to read a dilution of 1:100 in the buffer listed in Table 2, and then sterile filtered using a low retention filter (0.20 μm, Carl Roth, Karlsruhe, Germany, PA49.1).

Table 2 lists the antibodies used in subsequent examples, along with their final concentration and buffer.

TABLE 2 List of antibodies used in the Examples C-Terminal Tags Final Antibody Antibody SEQ ID (HC: Heavy Chain, conc. (ref.) HC/LC LC: Light Chain) Buffer (mg/mL) ERR2- HC: SEQ ID NO. 7 HC: LPETG-Strep PBS 2.7 302 LC: SEQ ID NO. 19 LC: G₅SLPETG- (mAb004) Strep ERR2- HC: SEQ ID NO. 8 HC: LPETG-Strep PBS 4.5 308 LC: SEQ ID NO. 20 LC: G₅SLPETG- (mAb037) Strep ERR2- HC: SEQ ID NO. 9 HC: LPETG-Strep PBS 3.2 316 LC: SEQ ID NO. 21 LC: G₅SLPETG- (mAb005) Strep ERR2- HC: SEQ ID NO. 10 HC: LPETG-Strep PBS 2.5 317 LC: SEQ ID NO. 22 LC: G₅SLPETG- (mAb006) Strep XBR2- HC: SEQ ID NO. 4 HC: LPETG-Strep PBS 3.7 327 LC: SEQ ID NO. 16 LC: G₅SLPETG- (mAb007) Strep ERR2- HC: SEQ ID NO. 12 HC: LPETG-Strep PBS 3.3 top35 LC: SEQ ID NO. 24 LC: G₅SLPETG- (mAb130) Strep XBR2- HC: SEQ ID NO. 11 HC: LPETG-Strep PBS 6.0 401 LC: SEQ ID NO. 13 LC: G₅SLPETG- (mAb003) Strep Huluc63 HC: SEQ ID NO. HC: LPETG-Strep PBS 8.0 (mAb047) 135 LC: G₅SLPETG- LC: SEQ ID NO. Strep 136

Huluc63 corresponds to an unrelated control antibody; the heavy and light chain sequences are given below.

SEQ ID NO. Amino Acid Sequence (with constant  Name domain underlined) SEQ ID  EVQLVESGGGLVQPGGSLRLSCAASGFDFSRYWMSWVR NO. 135 QAPGKGLEWIGEINPDSSTINYAPSLKDKFIISRDNAK Huluc63  NSLYLQMNSLRAEDTAVYYCARPDGNYWYFDVWGQGTL HC VTVSSASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYP amino EPEVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTV acid PSSSLGTQTYICNVNHKPSNTKVDKKVEPKSCDKTHTC sequence PPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRV VSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAK GQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIA VEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSR WQQGNVFSCSVMHEALHNHYTQKSLSLSPGK SEQ ID  DIQMTQSPSSLSASVGDRVTITCKASQDVGIAVAWYQQ NO. 136 KPGKVPKLLIYWASTRHTGVPDRFSGSGSGTDFTLTIS Huluc63  SLQPEDVATYYCQQVSSYPYTFGQGTKVEIKRTVAAPS LC  VFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDN amino ALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHK acid VYACEVTHQGLSSPVTKSFNRGEC sequence

Example 7 Cross-Reactivity of Anti-Human ROR2 Antibodies on Murine and Cynomolgus ROR2

Each well of a 96-well plate was coated with 50 μL of 2 μg/mL twinstrep-tagged human, murine or cynomolgus ROR2 (from Example 4) in 0.1 M bicarbonate coating buffet (pH 9.6), and incubated for 12 h at 4° C. An additional 96-well plate was likewise prepared but with anti-human Fc (Jackson ImmunoResearch, 109-006-008).

Ater blocking with 150 μL of 3% (w/v) bovine serum albumin (BSA)/TBS for 1 h at 37° C., the following antibodies were added to a well within each plate at a concentration of 0.5 μg/mL, and serially diluted (dilution factor 4) with 1% (w/v) BSA/TBS, before incubation for 1 h at 37° C.: ERR2-302 (mAb004), ERR2-308 (mAb037), ERR2-316 (mAb0005), ERR2-317 (mAb006), XBR2-327 (mAb007), ERR2-Top35 (mab130), and XBR2-401 (mab003). After washing with PBS with 0.05% Tween 20, HRP-conjugated F(ab′)₂ anti-human FC-gamma (Jackson Immunoresearch, 109-036-008) was then added at a 1:10'000 dilution, 50 μl per well, and incubated for 1 h at 37° C. prior to detection using an Spark 10M plate reader (Tecan). Curves of OD 490 nm versus antibody concentration (ng/mL) were fitted with Graphpad Prism Software (Graphpad Software, La Jolla, Calif., U.S.A.). The IC₅₀ values, determined using the built-in “log(inhibitor) vs. response—Variable slope (four parameters)” IC₅₀ determination function of Prism Software, are reported in Table 3 for human and mouse ROR2, and in Table 4 for human and cynomolgus ROR2, As shown in FIG. 14, the anti-human ROR2 antibodies ERR2-302 and ERR2-Top35 bind human ROR2 (panel A, C) and mouse ROR2 (panel B); the remaining are not cross-reactive with mouse ROR2. All of the inventive anti-human ROR2 antibodies are, however, cross-reactive with cynomolgus ROR2 (panel D).

TABLE 3 Human and mouse ROR2 binding by anti-ROR2 antibodies. IC50 ng/mL ratio IC50 anti-human human mouse human mouse Antibody Fe ROR2 ROR2 ROR2/IgG ROR2/IgG ERR2-302 32.2 102.3 60.6 0.31 0.53 ERR2-308 33.6 466.8 150.7 0.07 0.22 ERR2-316 40 29.9 994.6 1.34 0.04 ERR2-317 39.1 1354.1 167.2 0.03 0.23 XBR2-327 43.3 167901.4 443.7 0 0.1 XBR2-401 85.6 50.5 361.1 1.69 0.24 ERR2- 41.9 24.4 17.3 1.72 2.41 top35

TABLE 4 Human and cynomolgus ROR2 binding by anti-ROR2 antibodies IC50 ng/mL ratio IC50 anti-human human cynomolgus human cynomolgus Antibody Fe ROR2 ROR2 ROR2/IgG ROR2/IgG ERR2-302 13.4 5.5 7.1 0.41 0.53 ERR2-308 16.7 18.6 4.6 1.11 0.28 ERR2-316 11.2 40.7 44 3.63 3.93 ERR2-317 8.4 16.8 19 2 2.26 XBR2-327 10.2 0.57 0 0.06 0 XBR2-401 6.8 41.9 43.3 6.16 6.37 ERR2- 14.3 46.2 53.1 3.23 3.71 top35

Example 8 Binding Affinities of Anti-Human ROR2 Antibodies on Human and Cynomolgus ROR2

Surface plasmon resonance for the measurement of the affinities of anti-ROR2 antibodies to human ROR2 and cynomolgus ROR2 was performed on a Biacore T200 instrument (GE Healthcare). Goat α-human Fcγ-specific IgG (Jackson ImmunoResearch, 109-005-098) was covalently immobilized on a CM5 sensor chip (GE Healthcare, BR-1005-30. For affinity measurements, purified anti-human ROR2 antibodies were used. In all cases, anti-ROR2 antibodies were diluted to 7.5 μg/ml in 1× HBS-EP+ running buffer (10 mM HEPES, 150 mM NaCl, 3 mM EDTA (pH 7.4), and 0.05% (v/v) Tween P20) and captured for 60 s with a flow of 10 μl/min. Human ROR2-TwinStrep car cynomolgus ROR2-TwinStrep was diluted in running buffer using 2-fold serial dilutions ranging from 200 nM to 12.5 nM. Association and dissociation were measured at a flow of 30 μl/min for 120 s and 200 s, respectively. Calculation of association (k_(on)) and dissociation (k_(off)) rate constants was based on a 1:1 Langmuir binding model. The equilibrium dissociation constant (K_(d)) was calculated from k_(off)/k_(on). Values are reported in Table 5.

TABLE 5 Binding characteristics of anti-ROR2 antibodies against human and cynomolgus ROR2 as determined by SPR k_(on) K_(d) Antigen Antibody (M⁻¹s⁻¹) k_(off) (s⁻¹) (nM) Human ROR2 XBR2-401 (mab003) 9.78E+02 ≤1.00E−05   ≤10.2 Cynomolgus XBR2-401 (mab003) 8.71E+03 ≤1.00E−05   ≤1.1 ROR2 Human ROR2 ERR2-302 (mab004) 1.07E+05 5.60E−03 52.4 Cynomolgus ERR2-302 (mab004) 1.08E+05 5.27E−03 48.6 ROR2 Human ROR2 ERR2-308 (mab037) 1.37E+04 1.53E−04 11.2 Cynomolgus ERR2-308 (mab037) 2.38E+04 1.27E−04 5.4 ROR2

Example 9 Generation of Site-Specifically Conjugated ADCs Using SMAC-Technology

Sortase A enzyme. Recombinant and affinity purified Sortase A enzyme from Staphylococcus aureus was produced in E. coli as disclosed in WO2014140317A1.

Generation of glycine-modified toxins. In order to generate SMAC-technology™ conjugated ADCs with pentaglycine-modified PNU-159682 derivative Gly₅-EDA-PNU (FIG. 13B) was manufactured as disclosed in WO2016102697. The identity and the purity of the pentaglycine-modified. PNU toxin was confirmed by mass-spectrometry and HPLC. The Gly₅-modified toxin exhibited >95% purity, as determined by the single peak in the HPLC chromatogram.

Sortase-Mediated antibody conjugation. The above-mentioned toxin was conjugated to anti-ROR2 antibodies as per Table 3 by incubating LPETG-tagged mAbs [10 μM] with glycine modified toxin [20004] and 3 μM Sortase A in the listed conjugation buffer for 15 h at 25° C. The reaction was stopped by passing it through an rProtein A GraviTrap column (BioRad). Bound conjugate was elated with 5 column volumes of elution buffer (0.1 M glycine pH 2.5, 50 nM NaCl), with 1 column volume fractions collected into tubes containing 25% v/v 1M HEPES pH 8 to neutralise the acid. Protein containing fractions were pooled and formulated in the formulation buffer of Table 7 using a ZebaSpin desalting column.

ADC analytics. DAR was assessed by Reverse Phase Chromatography performed on a Polymer Labs PLRP 2.1 mm×5 cm, 5 μm column run at 1 mL/min/80° C. with a 25 minute linear gradient between 0.05 to 0.1% TFA/H₂O and 0.04 to 0.1% TFA/CH₃CN. Samples were first reduced by incubation with DTT at pH 8.0 at 37° C. for 15 minutes. The DAR determined by Reverse Phase Chromatography is summarized in Table 6 below.

TABLE 6 Manufacturing conditions and analytical summary of ADCs manufactured in this study. ADC (ref.) mAb (ref.) Toxin Conjugation Buffer Formulation Buffer DAR ERR2-302- ERR2-302 G5-PNU 50 mM HEPES (pH 7.5), 10 mM sodium 3.5 G5-PNU (mAb004) 15 mM NaCl, 5 mM CaCl₂ succinate (pH 5.0), 175 (adc142) mM sucrose, 0.02% (w/v) Tween 20 ERR2-308- ERR2-308 G5-PNU 50 mM HEPES (pH 7.5), 10 mM sodium 3.5 G5-PNU (mAb037) 15 mM NaCl, 5 mM CaCl₂ succinate (pH 5.0), 175 (adc143) mM sucrose, 0.02% (w/v) Tween 20 ERR2-317- ERR2-317 G5-PNU 50 mM HEPES (pH 7.5), 10 mM sodium 3.5 G5-PNU (mAb006) 15 mM NaCl, 5 mM CaCl₂ succinate (pH 5.0), 175 (adc145) mM sucrose, 0.02% (w/v) Tween 20 XBR2-327- XBR2-327 G5-PNU 50 mM HEPES (pH 7.5), 10 mM sodium 3.8 G5-PNU (mAb007) 15 mM NaCl, 5 mM CaCl₂ succinate (pH 5.0), 175 (adc146) mM sucrose, 0.02% (w/v) Tween 20 XBR2-401- XBR2-401 G5-PNU 50 mM HEPES (pH 7.5), 10 mM sodium 3.6 G5-PNU (mAb003) 15 mM NaCl, 5 mM CaCl₂ succinate (pH 5.0), 175 (adc096) mM sucrose, 0.02% (w/v) Tween 20 ERR2- ERR2- G5-PNU 50 mM HEPES (pH 7.5), 25 mM HEPES (pH ND top35-G5- top35 150 mM NaCl, 1 mM 6.8), 150 mM NaCl PNU (mAb130) CaCl₂ (adc207) Huluc63- Huluc63 G5-PNU 50 mM HEPES (pH 7.5), 10 mM sodium 3.6 G5-PNU (mAb047) 15 mM NaCl, 5 mM CaCl₂ succinate (pH 5.0), 175 (adc101) mM sucrose, 0.02% (w/v) Tween 20 DAR, drug-to-antibody ratio. ND, not determined.

Example 10 In Vitro Cytotoxicity Assays of Anti-ROR2 Antibody-Based ADCs on Wild Type EMT-6 and ROR2-Overexpressing EMT-6 Breast Cancer Cells

Cytotoxicity of the anti-ROR2 ADCs of Table 5 was investigated using wild type (WT) EMT-6 and EMT-6 cells engineered to overexpress human ROR2 (from Example 1). Huluc-G5-PNU (adc101) was included as isotype control.

For this, 9.75×10³ WT EMT-6 and hROR2 overexpressing EMT-6 cells per well were plated on 96-well plates (excluding edge wells, which contained water) in 75 μL DMEM supplemented with 10% by vol. FCS, 100 IU/ml Pen-Strep-Fungizone and 2 mM L-Glutamine and were grown at 37° C. in a humidified incubator at 7.5% CO₂ atmosphere. After 1-day incubation, each ADC was added to respective wells in an amount of 25 μL of 3.5-fold serial dilutions in growth medium (resulting in final ADC concentrations from 20 μg/mL to 0.88 ng/ml). After 4 additional days, plates were removed from the incubator and equilibrated to room temperature. After approximately 30 min, 50 was removed from each well, and then 50 μL of CellTiter-Glo® 2.0 Luminescent Solution (Promega, G9243) was added to each well. After shaking the plates at 750 rpm for 5 min followed by 20 min incubation without shaking, luminescence was measured on a Tecan iControl plate reader. Curves of luminescence versus ADC concentration (ng/mL) were fitted with Graphpad Prism Software. The IC50 values, determined using the built-in “log(inhibitor) vs. response—Variable slope (four parameters)” IC₅₀ determination function of Prism Software, are reported in Table 7.

TABLE 7 In vitro cell killing of EMT-6 cells and EMT-6/hROR2 expressing cells by anti-ROR2 or isotype control ADCs (IC₅₀, ng/mL) hROR2-overexpressing ADC WT EMT-6 EMT-6 ERR2-302-G5-PNU (adc142) 2.1 × 10⁸ 3.2 ERR2-308-G5-PNU (adc143) 8′983 10.3 ERR2-317-G5-PNU (adc145) 25′205 6.2 XBR2-401-G5-PNU (adc096) 7′452 10.2 XBR2-327-G5-PNU (adc146) 11′568 10.2 ERR2-top35-G5-PNU (adc207) 364 7.2 Huluc63-G5-PNU (adc101) 3398 1′207

FIG. 15 shows the dose-repose curves of the in vitro cell killing assays on WT and hROR2-overexpressing EMT6 cells with the ADCs of Table 7. As per the above Table and FIG. 15, the ADCs of the invention provide specific killing dependent on ROR2 expression status.

Example 11 Functional Evaluation of CAR-T Cells Expressing Anti-hROR2 CAR Based on XBR2-401

CAR-T cells based on XBR2-401 were engineered using previously described methods (Hudecek, M., Lupo-Stanghellini, M. T., Kosasih, P. L., Sommermeyer, D., Jensen, M. C., Rader, C., and Riddell, S. R, (2013) Receptor affinity and extracellular domain modifications affect tumor recognition by ROR1-specific chimeric antigen receptor T cells. Clin. Cancer Res. 19, 3153-3164). Ex vivo expanded primary human CD8⁺ CD62L⁺ T cells were lentivirally transduced with XBR2-401 CARs containing CD3ζ and 4-1BB signaling domains and a short or long spacer. Transduced T cells were purified via tEGFR by FACS and their phenotype was assessed the day before functional assays. CD8+ purity varied between 97% and 99%, tEGFR expression varied between 95% and 99%. Following 72 h co-culture with ROR2-positive air ROR2-negative human breast cancer cells, CFSE-stained CD8+ CD62L+ cells were analyzed by flow cytometry, revealing target-dependent proliferation of XBR2-401 (FIG. 16; upper panel). Selective cytotoxicity was measured with a luciferase-based cytotoxity assay following 11 h of co-culture with ROR2-positive and ROR2-negative cells (FIG. 16; lower panel).

Example 12 Specificity Analysis of XBR2-401

FIG. 18 provides an overview of the Retrogenix Cell Microarray Platform. Primary screen: Purified chimeric rabbit/human IgG1 XBR2-401 targeting ROR2 and purified chimeric rabbit/human IgG1 XBR1-402 targeting ROR1 were pooled to a concentration of 2 μg/mL each. The pool was screened for binding against fixed HEK293 cells/slides expressing 4,336 human plasma membrane proteins individually (13 slide sets; n=2 slides per slide set). All transfection efficiencies exceeded the minimum threshold. An AlexaFluor647 anti-human IgG Fc detection antibody was used. Primary hits (duplicate spots) were identified by analyzing fluorescence (AlexaFluor647 and ZsGreen1) on ImageQuant. Vectors encoding all hits were sequenced to confirm their correct identities. Confirmation screen: Vectors encoding all hits, plus control vectors, were spotted in duplicate on new slides, and used to reverse transfect human HEK293 cells as before. All transfection efficiencies exceeded the minimum threshold. Identical fixed slides were treated with each of the two test antibodies (XBR2-401 and XBR1-402) individually, plus positive and negative controls (n=2 slides per treatment). Slides were analyzed as before (FIG. 18).

Some additional references cited here are listed below.

-   Hofer, T., W. Tangkeangsirisin, M. G. Kennedy, R. G. Mage, S. J.     Raiker, K. Venkatesh, H. Lee, R. J. Giger, and C. Rader. 2007.     Chimeric rabbit/human Fab and IgG specific for members of the     Nogo-66 receptor family selected for species cross-reactivity with     an improved phage display vector. J Immunol Meth 318:75-87. -   Hofer, T., J. D. Thomas, T. R. Burke, Jr., and C. Rader. 2008. An     engineered selenocysteine defines a unique class of antibody     derivatives. Proc Natl Acad Sci USA 105:12451-12456. -   Kwong, K. Y., S. Baskar, H. Zhang, C. L. Mackall, and C.     Rader. 2008. Generation, affinity maturation, and characterization     of a human anti-human NKG2D monoclonal antibody with dual     antagonistic and agonistic activity. J Mol Biol 384:1143-1156. -   Kwong, K. Y., and C. Rader. 2009, E. coli expression and     purification of Fab antibody fragments. Curt Protoc Protein Sci     Chapter 6:Unit 6 10. -   McCartney-Francis, N., R. M. Skurla, Jr., R. G. Mage, and K. E.     Bernstein. 1984. Kappa-chain allotypes and isotypes in the rabbit:     cDNA sequences of clones encoding b9 suggest an evolutionary pathway     and possible role of the interdomain disulfide bond in quantitative     allotype expression. Proc Natl Acad Sci USA 81:1794-1798. -   Popkov, M., R. G. Mage, C. B. Alexander, S. Thundivalappil, C. F.     Barbas, 3rd, and C. Rader. 2003. Rabbit immune repertoires as     sources for therapeutic monoclonal antibodies: the impact of kappa     allotype-correlated variation in cysteine content on antibody     libraries selected by phage display. J Mol Biol 325:325-335. -   Rader, C. 2009. Generation and selection of rabbit antibody     libraries by phage display. Methods Mol Biol 525:101-128, xiv. -   Yang, J., S. Baskar, K. Y. Kwong, M. G. Kennedy, A. Wiestner, and C.     Rader. 2011, Therapeutic potential and challenges of targeting     receptor tyrosine kinase ROR1 with monoclonal antibodies in B-cell     malignancies. PloS One 6:e21018. -   Yang, J., and C. Rader. 2012. Cloning, expression, and purification     of monoclonal antibodies in scFv-Fc format. Methods Mol Biol     901:209-232.

Some additional nucleotide sequences described herein are listed below.

SEQ ID NO: 129. 5′- CAGTCAGTGAAGGAGTCCGAGGGAGGTCTCTTCAAGCCAACGGATACCCT GACACTCACCTGCACAGTCTCTGGATTCTCCCTCAGTAGCTATGGAGTGA CCTGGGTCCGCCAGGCTCCAGGGAGCGGGCTGGAATGGATCGGATACATT AATACTGCTGGTAACACATACTACGCGAGCTGGGCGAAAAGCCGGTCCAC CATCACCAGGAACACCAACGAGAACACGGTGACTCTGAAAATGACCAGTC TGACAGCCGCGGACACGGCCACCTATTTCTGTGCGAGAGATTGGACATCC CTTAACATCTGGGGACCAGGGACCCTCGTCACCGTCTCTTCA-3′ SEQ ID NO: 130. 5′- CAGGAGCAGCTGGAGGAGTCCGGGGGTCGCCTGGTCACGCCTGGGACACC CCTGACACTCACCTGCACAGTCTCTGGATTCTCCCTCAGTAGCTACTGGA TGAGCTGGGTCCGCCAGGCTCCAGGGAAGGGGCTGGAATGGATCGGGACC ATTACGCCTGGTGGTAACACGGACTACGCGACCTGGGCGAAAGCCCGATT CACCGTCTCCAAAACCTCGACCACGGTGGATCTAAAAATCACCAGTCCGA CAACCGAGGACACGGCCACCTATTTCTGTGCCAGAGGGATAGGTGGTGCT GCTGACTTGTGGGGGCCAGGCACCCTGGTCCACCATCTCCTCA-3′ SEQ ID NO: 131. 5′- CAGTCAGTGAAGGAGTCCGAGGGAGGTCTCTTCAAGCCAACGGATAGCCT GACACTCACCTGCACAGTCTCTGGATTCTCCCTCAGTACCTATGGAGTGA GCTGGGTCCGCCAGGCTCCAGGGAACGGGCTGGAATGGATCGGGGCCATT GGTAGTAGTGGTAGCGCAAACTACGCGAGCTGGGCGAAAGACCGATCCAC CATCACCAGAAACACCAACCTGAACACGGTGACTCTGAAAATGACCAGTC TGACAGCCGCGGACACGGCCACCTATTTCTGTGCGAGAGATGGTTACTAT AGTAGTGGCTGGGGTCCCTACTTTAACATCTGGGGGCCAGGCACCCTGGT CACCATCTCCTCA-3′ SEQ ID NO: 132. 5′- GACCCTATGCTGACCCAGACTCCATCCTCCACGTCTACCGCTGTGGGAGA CACAGTCACCATCAAGTGCCAGGCTAGTCAGAGCATTAGTAGTGACTTAT CCTGGTATCAGCAGAAACCAGGGCAGCGTCCCAAGCTCCTGATCTACCAG GCATCCACTCTGGCATCTGGGGTCCCATCGCGGTTCAAAGGCAGTGGATA TGGGACAGAGTACACTCTCACCATCAGCGGCGTGCAGCGTGAGGATGCTG CCATCTACTACTGTCTAGGTGGTTATGCTGATGCTTCTTATCGAACTGCT TTCGGCGGAGGAACCAAGCTGGAGATCAAA-3′ SEQ ID NO: 133. 5′- CAAGTGCTGACCCAGACTCCATCCTCCACGTCTGCCGCTGTGGGAGGCAC AGTCACCATCAAGTGCCAGGCCAGTCAGAGCATTAGTAGTAGCGACTTAT CCTGGTATCAGCAGAAACCAGGGCAGCCTCCCAAGCTCCTGATCTATGCT ACATCCTATCTGGCATCTGGAGTCCCATCGCGGTTCAAAGGCAGTGGATC TGGGACAGAGTACACTCTCACCATCAGCGGCGTGCAGCGTGAGGATGCTG CCACCTACTACTGTCTAGGTGGTTATCCTAATACTTCTTACCGGTCTGCT TTCGGCGGAGGGACCAAGGTGGAGATCAAA-3′ SEQ ID NO: 134. 5′- TCCTTCGTGCTGACTCAGCCAGCCTCAGTGCAGGTGAACTTGGGACAGAC GGTCTCCCTCACATGCACTGCAGATACACTGAGCAGAAGTTATGCTTCCT GGTACCAGCAGAAGCCAGGCCAGGCCCCTGTGCTGCTCATCTACAGGGAT ACCAGTCGGCCCTCAGGGGTCCCTGACCGCTTCTCTGGCTCCAGCTCAGG GAACACGGCCACCCTGACCATCAGTGGGGCCCAGGCTGGGGACGAGGCTG ACTACTATTGTGCTACAAGCGGTGGCAGTGGCAGCAACCCTCAGTATGTG TTCGGCGGAGGGACCCAGCTGACCGTCACAGGC-3′

Although the foregoing invention has been described in some detail by way of illustration and example for purposes of clarity of understanding, it will be readily apparent to one of ordinary skill in the art in light of the teachings of this invention that certain changes and modifications may be made thereto without departing from the spirit or scope of the appended claims.

All publications, databases, GenBank sequences, patents, and patent applications cited in this specification are herein incorporated by reference as if each was specifically and individually indicated to be incorporated by reference. 

We claim:
 1. An antibody, an antibody-based binding protein or an antibody fragment that specifically binds to the extracellular domain of human receptor tyrosine kinase-like orphan receptor 2 (ROR2), comprising heavy chain CDR1-3 sequences and light chain CDR1-3 sequences that are respectively identical to SEQ ID NOs:25-27 and SEQ ID NOs:61-63.
 2. The antibody, antibody-based binding protein or antibody fragment of claim 1, comprising a heavy chain variable region sequence and a light chain variable region sequence that are at least 95% identical to SEQ ID NO:1 and SEQ ID NO:13, respectively.
 3. The antibody, antibody-based binding protein or antibody fragment of claim 1, comprising a heavy chain variable region sequence and a light chain variable region sequence respectively shown in SEQ ID NO:1 and SEQ ID NO:13.
 4. The antibody, antibody-based binding protein or antibody fragment of claim 1, wherein the antibody or antibody fragment is chimeric or humanized.
 5. The antibody, antibody-based binding protein or antibody fragment of claim 1, wherein the antibody or antibody fragment is IgA1, IgA2, IgD, IgE, IgG1, IgG2, IgG3, IgG4, synthetic IgG, IgM, F(ab)2, Fv, scFv, IgGACH2, F(ab′)2, scFv2CH3, Fab, VL, VH, scFv4, scFv3, scFv2, dsFv, Fv, scFv-Fc, (scFv)2, a non-depleting IgG, a diabody, or a bivalent antibody.
 6. The antibody, antibody-based binding protein or antibody fragment of claim 1, which is conjugated to a synthetic molecule.
 7. The antibody, antibody-based binding protein or antibody fragment of claim 6, wherein the synthetic molecule is a cytotoxic agent, a label, a therapeutic radioisotope, or a liposome.
 8. A pharmaceutical composition comprising (1) a therapeutically effective amount of an antibody, antibody-based binding protein or antibody fragment of claim 1, and (2) a pharmaceutically acceptable carrier.
 9. A kit comprising the antibody or antigen-binding fragment of claim
 1. 10. An antibody drug conjugate (ADC), comprising an antibody, an antibody-based binding protein or an antibody fragment that specifically binds to the extracellular domain of human receptor tyrosine kinase-like orphan receptor 2 (ROR2), comprising heavy chain CDR1-3 sequences and light chain CDR1-3 sequences that are respectively identical to SEQ ID NOs:25-27 and SEQ ID NOs:61-63.
 11. The antibody drug conjugate of claim 10, wherein the cytotoxic agent is a small molecular weight toxin, a peptide toxin, or a protein toxin.
 12. The antibody drug conjugate of claim 10, wherein the antibody or antibody fragment comprises a heavy chain variable region sequence and a light chain variable region sequence respectively shown in SEQ ID NO:1 and SEQ ID NO:13.
 13. A pharmaceutical composition comprising (1) a therapeutically effective amount of an antibody drug conjugate (ADC) of claim 10, and (2) a pharmaceutically acceptable carrier. 